Background Screen Form

"*" indicates required fields

Background and Abuse Prevention Training Screens

Use this form to verify your USAV affiliation or start the background screen and APS training process. JVA is committed to creating a safe and positive environment for its participant’s physical, emotional, and social development and to ensure that it promotes an environment free from abuse and misconduct. As part of this commitment JVA will be following the recommendations and guidelines of the Abuse Prevention Systems Please read through each page carefully to ensure that all information is provided accurately. DO NOT COMPLETE THIS FORM FOR ANYONE OTHER THAN YOURSELF!

Select Your Club*

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 APS Training.

Check "My Club is Not Listed" below. You will then need to enter your club, club director's name and their email to notify them that you've started the background screen process.

My Club is Not Listed

Non-JVA Member Club Information

Club Name*

You must enter your full club name. Please do not use any abbreviations.

Club City*

Club State*

Club Director Name*

First Last

Club Director's Email*

Your Contact Information

Your Name*

First Middle Last

Your Email*

Your Phone*

Your Birthdate*

Team Affiliation

Select Your Affiliation*

If you are affiliated with USAV, you will need to verify with your USAV number. You will NOT have to pay nor will you have to take the APS training.

USAV Verification

Your USAV Number*

Your Birthdate*

USAV Consent

I confirm that I am actively affiliated with USAV and have completed their Safe Sport Training

By confirming and submitting this form, you have met the JVA safety requirements. You will not need to do an additional background screen or APS training.

If you are part of a JVA member club. This information will be available on your club page.

Begin Background Screen Process

After you submit this form, a link will be sent to the email that you provided. You will be able to complete your background screen via that unique link. If you are a JVA member club, the status of your background screen will show on your club page.

Name

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