Church Staff Background Check Authorization

I hereby authorize the church to obtain a background check as part of the application process for employment or volunteer service.

Personal Information

Full Name Current Address City, State, ZIP Date of Birth Social Security Number Phone Number

Authorization & Release

I hereby authorize and consent to the church, and any agent or representative, to investigate my background as required for staff or volunteer position. I understand this may include obtaining a consumer report and/or investigative consumer report, including information regarding my criminal history, past employment, and education.

I release the church and its agents from liability for seeking such information and all other persons, corporations or organizations for furnishing such information.

Signature

Date