Get Background Check Form - Dale Hollow Emmaus Chrysalis Community

Completing the Background Check Form for the Dale Hollow Emmaus Chrysalis Community is an essential step in the application process. This guide will provide you with clear instructions to help you fill out the form accurately and efficiently.

Follow the steps to complete your Background Check Form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in your browser.
2. Begin with the full name of the applicant. Enter your first name, middle name, and last name in the designated space.
3. Next, provide your social security number in the format of nine digits, separated by slashes (e.g., ___ / __ /_______). Ensure accuracy to prevent processing delays.
4. In the birth date section, input your date of birth using the format: month/day/year (MM/DD/YYYY).
5. Fill in your complete address, including street address, city, state, and zip code.
6. Record your phone number and mobile number. Each should be formatted correctly for clear contact purposes.
7. In the section for suspected offenses, describe any relevant offenses in detail. This information is essential for the board's assessment.
8. Acknowledge the agreement by signing your name in the signature field. This indicates your understanding of the process and consent to the background check.
9. Enter the date of your application in the space provided.
10. Make sure to prepare a check for $10.00 payable to DHECC, labeled as 'Re: Background Check,' to cover processing fees.
11. Finally, mail your completed form and payment to Sid Scott II at the address provided: 737 Ky. Hwy 1351, Albany, Ky. 42602.

Complete your Background Check Form online today to facilitate your application process.