Criminal Records and Background Release Authorization and Disclosure

The Upper Arlington City School District has partnered with Unique Background Solutions to conduct background checks on volunteers serving in positions that may include unsupervised contact with students.  In order to be approved as a volunteer, you must complete the form below to initiate the background process. You will be contacted by a central office staff member to finish the volunteer approval process once your background check is complete. 

Data entered in this form is encrypted via a secure HTTPS connection and will only be used during the background check by the Human Resources department.


please include hyphens (see example)​​​
What building(s) would you like to volunteer at?​​​​ (Select all that apply)​​​

I understand that UNIQUE BACKGROUND SOLUTIONS will seek and obtain investigative reports about me. These investigative reports may include, whichever is applicable, but are not limited to verification of social security number, names, criminal history records (from local, state, federal, international and other law enforcement agencies records), sexual offender lists, wants and warrants records, motor vehicle records, military records, license verification, civil cases, OIG/GSA, OFAC/Patriots Act, and any sanction lists. I understand and authorize that these records may be used for the eligibility and qualifications of my volunteering in the Upper Arlington City School District.  I hereby authorize, without reservation, the full release of these records and information for UNIQUE BACKGROUND SOLUTIONS and/or its designated agents or representatives to conduct searches and investigations and to provide copies of said investigations to the Upper Arlington City School District. I authorize the complete release of these records or data pertaining to me which any individual, company, firm, corporation, or public agency may have. This authorization and consent shall be valid in original, fax, or copy form.

I also authorize the full release of the information described above, without reservation, throughout any duration of time with this organization. I also certify that al information provided below is correct to the best of my knowledge. Any false statements provided on this form, will result in my being prohibited from volunteering with the Upper Arlington City School District. Upon request, UNIQUE BACKGORUND SOUTIONS will supply a copy of my reports and my rights under the FCRA.  Requests may be directed to: UNIQUE BACKGROUND SOLUTIONS PO Box 1604, Mt Airy, NC 27030 or by phone at 1-336-786-7030

By submitting this form, you agree that all the information provided is accurate. Submitting this form will act as an electronic signature.

Upper Arlington Schools

1950 North Mallway Drive
Upper Arlington, Ohio 43221
Phone icon (614) 487-5000
  (614) 487-5012


1950 North Mallway Drive
Upper Arlington, Ohio 43221
(614) 487-5000

Challenge and support every student,
every step of the way.

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