AmericanChecked Inc. Client Services Department Phone: 800 975-9876 or 918 742-6737 Fax: 918 742-7494
Brentwood Ball Club Application works best using a laptop or desk top computer Because of our desire to create a safe environment for both you and our clients, we are processing a background screening report on your behalf. Please complete the following fields:
First Name
Middle Name
Last Name
Suffix
Street Address		Full Street Address
City
State
Zip Code
SSN		999999999 or 999-99-9999 format
Birth Date (DOB)		MMDDYYYY format or MM/DD/YYYY format
Phone Number
Email Address
Volunteer Pkg.
7 Yr. County Criminal Search    Motor Vehicle Record    Statewide Criminal Search    Volunteer Check