Criminal Background Check Authorization

The safety of our campers is a top priority. All staff candidates age 18 and older must fill out this authorization for a criminal background check. Your information will be submitted to PreSearch Background Services to generate a criminal background check report. All personal information received in this authorization and in your background report will be maintained in a secure, confidential manner.

Name*

First NameMiddle NameLast Name

Former Names Used and Dates (enter "None" if not applicable)*

Current Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Location Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Current Mailing Address (if different than location address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Previous Mailing Address (if different than location address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of Birth*

Date

Social Security Number*

Phone Number*

Area CodePhone Number

Driver's License Number *

Driver's License State/Province*

Email*

example@example.com

Confirm Email*

example@example.com

Jotform prioritizes the privacy and security of your data, including sensitive information such as Social Security Numbers (SSNs). Here are key points about how your data is protected:

All forms are secured with 256-bit SSL encryption, the industry standard for secure connections
Forms encrypt submission data on your device before it is securely stored on Jotform servers
Jotform complies with major regulations including GDPR, CCPA, HIPAA, SOC 2, FERPA, and others to ensure legal and security standards are met
Additional protections include spam prevention tools, two-factor authentication, and options to limit form access and submissions
Collecting sensitive data like SSNs requires valid justification and user verification to comply with Jotform's use restrictions processes; this means your personal information is handled with strong security measures and legal compliance to keep it private and safe

Pleasant Valley Christian Camp uses PreSearch Background Checks. PreSearch implements robust security measures including encryption, secure data storage, and strict access controls. Its processes comply with relevant data protection regulations, and it regularly conducts security audits to maintain the highest standards of data security and privacy.

By submitting this form I hereby authorize Pleasant Valley Christian Camp to order a criminal background check report.