Background Check Consent Form

In order to provide safe ministries here at Truitt Baptist Church we screen all of our volunteers before working with children and student. This background check will be at no cost to you. Please provide the following information and your consent to perform this check. *This consent form will be shredded as soon as your background check is ordered. Background checks are stored on a secure network through Ministry Mobilizer*

Name

First Name

Last Name

Email

Phone

(###)

###

####

Social Security Number

Birthdate

MM

DD

YYYY

Driver's License Number

State

Digital Signature

I hereby authorize Truitt Memorial Baptist Church (hereafter "Truitt") to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that Truitt will utilize an outside Ministry Mobilizer to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.

First Name

Last Name

Date of Signature

MM

DD

YYYY