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Background Screen Form

Background Screen FormJVA Website Admin2022-08-23T04:03:46-05:00

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

JVA BACKGROUND SCREEN & TRUSTED COACH TRAINING COURSE FORM

Use this form to start the background screen and training process. DO NOT COMPLETE THIS FORM FOR ANYONE OTHER THAN YOURSELF! If you have a current AAU background screen, you do not need to complete this form.
Not a JVA Member Club?
If your club is not in the above dropdown list, your club is likely not a JVA member but you still need to complete a background screen and coaches training.

Check "My Club is Not Listed" below. You will then need to enter your club, club director's name and their email.

Non-JVA Member Club Information

You must enter your full club name. Please do not use any abbreviations.
Club Director Name*

Your Contact Information

Name*

Canadian Applicants

CANADIAN APPLICANTS ONLY

Self-Reporting Release Statement

Self-Reporting Release Statement*
**PLEASE, MAKE SURE ALL OF THE INFORMATION ABOVE IS CORRECT. DO NOT RESUBMIT THIS FORM** You will receive a confirmation email stating your form has been received. You will also receive an email from ANKORED with steps for setting up your account and completing your requirements.

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