Rotary International District 5000 (“District 5000”) is committed to creating and maintaining the safest possible environment for all participants in Rotary activities. Without limiting the foregoing, it is the duty of all Rotarians, Rotarians’ spouses, partners and other volunteers to safeguard to the best of their ability the welfare of and to prevent the physical, sexual, or emotional abuse of children and young people with whom they come into contact.
Our Policy Manual states that all volunteers who participate in Rotary youth programs submit this completed affidavit to the Youth Service Background Check Administrator and a confidential background check be processed.  The fee for this background check is $13.60. 
Complete the Volunteer Affidavit form and send it to the Youth Service Background Check Administrator, Natasha Clarin.  AFFIDAVIT FORM
You will receive an email invitation from to complete the background check with IntelliCorp and payment by credit card be required.
Questions?  email: