Background Check Consent Form

Background Check Consent Form

As part of our volunteer application process, individuals age 18 and older must complete this form to authorize a background check. If you have questions about the background check process, please contact the Bay Area Human Resources team (hr@bayarea.church).
Volunteer - Bay Area ChurchVolunteer - Bay Area Christian SchoolVolunteer - Early Learning AcademyContractorOther
Full Legal Name:*

First NameMiddle NameLast NameSuffix
Other Last Names Used (or N/A if none):*
Preferred Name (if different):
Email Address:*
example@example.com
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address:*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Social Security Number:*
xxx-xx-xxxx format
Date of Birth:*
MM/DD/YYYY format
Gender:*
Drivers License Number (or N/A):*
Drivers License State of Issue (Or N/A):*

CRIMINAL HISTORY DISCLOSURE QUESTIONS
YesNo
1) PENDING CHARGES: If yes, please explain (include jurisdiction and nature of charge)
YesNo
2) CRIMINAL CONVICTIONS: If yes, please explain (include date, jurisdiction, and nature of offense)
YesNo
3) CRIMES INVOLVING MINORS OR ABUSE: If yes, please explain
YesNo
4) DRIVING RECORD: If yes, please explain

CRIMINAL HISTORY DISCLOSURE QUESTIONS