Background Check Consent

Background Investigation Consent

A form for people to give consent to a background check.

I hereby authorize the Senior Ministry Assistant or her authorized representative to make an independent investigation of my background, references, character, past employment, education, criminal or police records, including those by both public and private organizations and all public records for the purpose of confirming the information contained on my application or volunteer form(s), and/or obtaining other information which may be used in decisions for employment or as a volunteer now and, if applicable, during the tenure of my employment or as a volunteer with our church. I release Compass Christian Church and any person or entity which provides information pursuant to this authorization, from any and all liabilities, claim or lawsuits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name and all information is true and correct to the best of my knowledge. Print name in the space provided below:(Required)

Name(Required)

First Middle Last

Other Names Used

Social Security Number(Required)

Date of Birth(Required)

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Signature(Required)

Type your full name

Date(Required)

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