First Baptist Church Background Check

First Baptist Church Background Check
Background Check Authorization

Application Questions
Name*

First NameMiddle NameLast Name
Bearing in mind that your proposed service may involve access to minor children, is there anything in your personal history or experience that indicates you have any problem whatsoever involving sexual attraction to children or any related tendencies that could pose a risk of harm to any children you may encounter during your service?*

YesNo
If yes, please explain.
Have you ever been the subject of a complaint of child abuse or any other type of mistreatment of children?*

YesNo
If yes, please explain.
Has anyone ever complained to you, the organization you were serving with, or to the government concerning your care of children?*

YesNo
If yes, please explain.
Certain types of behavior may reflect negatively on your fitness to serve in this ministry. Have you ever been charged with or convicted of any crime or misdemeanor involving (1) a minor child, (2) stalking or harassment, (3) sex or lewd behavior (e.g., rape, sexual assault, prostitution, public indecency) or (4) violence against another person?*

YesNo
If yes, please explain.
Have you engaged in any illegal drug use within the past 10 years?*

YesNo
If yes, please explain.
Signature*

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Date*

MonthDayYear
Date
FCRA Notice - Background Investigation

In connection with your employment application with First Baptist Church (the “Company”), this notice is intended to inform you that a consumer report will be obtained on you from a consumer reporting agency for employment purposes. These purposes may include for hiring, retention, promotion or reassignment. The report may contain information about you relating to your criminal information or history, driving and/or motor vehicle records, verification of your education or employment history, social media or other background checks.
Authorization for Background Investigation

By signing below, you hereby authorize the obtaining of consumer reports by the Company at any time after receipt of this authorization and throughout the course of your employment. You understand that the scope of your authorization is not limited to the present and, if you are hired, will continue throughout the course of your employment, and allow the Company to conduct future screenings for retention, promotion, or reassignment, as permitted by law and unless revoked by you in writing.
I hereby authorize the obtaining of consumer reports by the Company at any time after receipt of this authorization. To this end, I authorize any law enforcement agency, administrator, state, or federal agency, institution, school or university (public or private), information services bureau, employer, or insurance company to furnish any and all background information requested by Project My Ministry and/or the Company.*

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Full Name*

First NameMiddle NameLast Name
Former Names Used

First NameMiddle NameLast Name
When was the former name used?
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Current Address Since:*

MonthDayYear
Date
Previous Address 1

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address 1 Since:

MonthDayYear
Date
Previous Address 2

Street Address

Street Address Line 2

CityState

Zip Code
Previous Address 2 Since:

MonthDayYear
Date
Social Security Number:*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Driver's License Number:*
Driver's License State:*
Signature*

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Date*

MonthDayYear
Date
Should be Empty:

First Baptist Church Background Check

Background Check Authorization

FCRA Notice - Background Investigation

Authorization for Background Investigation