I commit to serve as a volunteer in the youth department. I agree to accept the
responsibilities and comply with the rules while I am representing Journey Community Church, the vision of this church, and all those who are in positions of authority. I understand and agree to submit to a background check prior to serving. I hereby authorize Journey Community Church and its designated agents and
representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records. I further authorize any individual, company, firm, corporation, or public agency to divulge any and all information, verbal or written, pertaining to me, to Journey Community Church or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company,
firm, corporation, or public agency may have, to include information or data received from other sources. Journey Community Church and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicant's personal information, including, but not limited to, addresses, social security numbers, and dates of birth. I hereby release Journey Community Church, the Social Security Administration, and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates, because of compliance with this authorization and request to release. You must turn this form in two weeks prior to volunteer service to ensure processing. Please turn this form into the church office during the work week, to Stephanie Donley or Faye Alston, David Fisher after a church service, or to Taylor Schooley after a Wednesday night youth class. This form will be locked up in a secure area or electronically encrypted over a secure connection.