Storybook Sunday Registration with Criminal Background Search Authorization Form

Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Where would you like to volunteer?*

Set Up/BreakdownCarnival GamesFood DistributionFace PaintingKids StoreCrowd Control
Criminal Background Search Authorization Form

I hereby authorize New Life Covenant and/or its agents to make an independent investigation of my background, references, character, past employment, education, credit history, criminal or police records for the purpose of confirming the information contained on my application and/or obtaining other information which may be material to my qualifications for employment/volunteer now and, if applicable, during the tenure of my employment/volunteer with the Church.

I release New Life Covenant and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or lawsuits in regards to the information obtained from any and all of the above reference sources used.
To ensure an accurate and timely search, please type accurately and complete this form entirely.
Print Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Race*
Sex*
Social Security Number*
xxx-xx-xxxx
Drivers License State Issued*

Street Address

Street Address Line 2

CityState

Zip Code
Drivers License Number*
Current Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Former Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Signature*

Clear
Today's Date*

MonthDayYear
Date
Additional Comments:
*NOTE: The above information is required for identification purposes only, and is in no manner used as qualifications for employment/volunteer. New Life Covenant abides by all applicable state and federal laws.
Person Submitting Search

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Should be Empty: