During contract period or if Spring/Summer for the following Fall
or resident advisor, house president, etc.
Please indicate your source(s) of financial support for the period of your intended contract (check all that apply)
By submitting this form, I hereby authorize and permit the Inter-Cooperative Council to perform a background check to obtain information about me from law enforcement and/or credit agencies, courthouses, personal, professional and residential referenfences and employers. I also authorize and give permission for all such parties to disclose any information requested about me to the Inter-Cooperative Council.