Permission to Preform Background Check

Permission to Perform Background Check

This form is only required if applying to serve with Children or Youth

Thank you for volunteering to serve the children or youth at Crossroads Church. We want you to know that we take the same extreme measures to protect your confidential information as we do to protect those children and youth entrusted to our care.

BE MINDFUL THAT YOU ARE GIVING YOUR SOCIAL SECURITY NUMBER ON THIS FORM

A criminal background check and/or a motor vehicle record check may be obtained in connection with your participation as a volunteer working with children/youth under the age of 18. This is not a financial credit check.

Before any adverse action is taken, based in whole or in part of the information contained in the report(s), you will be provided a copy of the report, the names, address and the telephone number of the reporting agency, a summary of your rights under the Fair Credit Reporting Act, as well as additional information on your rights under the law.

After completion of this form and by clicking submit you hereby voluntarily authorize Crossroads Church of Avon, Inc to obtain a criminal background check report and/or motor vehicle report about you and to consider this information when making decisions regarding your participation with youth/children under the age of 18 at Crossroads Church of Avon. You understand that you have rights under the Fair Credit Reporting Act, including rights discussed above. This report may be delivered in either written or electronic form.

  • Date Format: MM slash DD slash YYYY

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