Background Check Data Collection

Background Check Data Collection
Thank you for your desire to serve at Cross Point!

The below information will be used to perform a background check as part of our safety protocol for volunteers in the nursery and children's church.

All information given will be held confidential, and only used for the ordering of a background check. Please look for an email after submission from Protect My Ministry. They will be asking for information to complete the background check.

If you are more comfortable submitting this information in hard-copy form, feel free to download the PDF here, and submit in person.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list other names used:*
Social Security Number*
Date of Birth*
Drivers License/State ID Number*
Should be Empty: