Background Check Permission Form

I hereby allow the Shelby Courts Programs to perform a background check, including:


  • Criminal records
  • Volunteer Experience
  • Military Service
  • Personal references

I understand that all information collected during the background check will be kept confidential.

I understand that I do not have to agree to this background check, but refusal to do so may exclude me from consideration as a Veterans Court Mentor.

I hereby also extend my permission to those individuals or organizations contacted for the purpose of this background check to give their full and honest evaluation of my suitability for

the mentor position, and other such information as they deem appropriate to this role.