Background Check Reimbursement Request

The ESSC is willing to reimburse volunteers for the cost of the NH Criminal Background Check.

Please submit the following information:

First Name

Last Name

Mailing Address

Email Address

PayPal Email Address

School Volunteered For

Seeking Reimbursement For

Background Check $22.75

Fingerprint Fee

Background Check Fee Check No.

Fingerprint Fee Check No.

Fingerprint Fee $

Your Cost

Total Reimbursement Requested

Email Address

NH Criminal Background Check

NH Criminal Background Check can take as long as 4 weeks to complete. Please begin this step early in the process! Packets can be obtained at your school.

JUNIOR PROGRAM VOLUNTEER REGISTRATION FORM

Please print, fill out and return to school representative by December 15.