Background Check Authorization
  • Background Check Authorization

  • For the safety and security of our students, all employees, volunteers, and chaperones must complete a background check before they can participate in school events. 

  • Personal Information

  • Gender*
  • Date of Birth*
     - -
  • Format: (000) 000-0000.
  • Student Information

  • Criminal History

  • Have you been apprehended, charged or convicted for a crime other than a moving traffic violation?*
  • Are you on probation or parole?*
  • Have you ever been convicted of child abuse?*
  • Driver Information

  • Do you have a valid driver's license?*
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  • Do you have vehicle liability insurance?*
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  • I hereby declare that the information submitted in this application is true and correct to the best of my knowledge. I understand that any false information will result in disqualifying this application. I hereby authorize Granville Christian Academy (GCA) and its representatives to perform an extensive review of my background based on private and public information I have provided for employment or volunteer purposes. I also authorized any agencies or background check companies to perform a background check investigation as part of my application. I fully understand that this investigation will generate a report that may include personal information, educational background, employment history, criminal history, and any other records. I, therefore, release and hold no harm to GCA and any representatives who provide this information from any liability.

  • Date signed
     - -
  • Payment Information

  • Background Check Fee

    prevnext( X )
    USD
  • Payment Methods

    Choose from one of the PayPal options to make your payment.

  • Should be Empty: