Background Check Request

Background Check

Background Check Request Form









DISCLOSURE REGARDING BACKGROUND INVESTIGATION

Central Church, Inc. and/or Central Ministries, Inc. (“the Company”) may obtain information about you from a consumer reporting agency for employment or volunteering purposes. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends or associates. These reports may contain information regarding your criminal history, credit history, motor vehicle records (“driving records”), verification of your education or employment history or other background checks. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that most "consumer reports" and "investigative consumer reports" will be conducted by SecureSearchFaith, 558 Castle Pines Parkway, Castle Rock, Colorado 80108, (866) 891-1954, https://www.securesearchfaith.com/, and verified by Central Church, Inc. and/or Central Ministries, Inc. itself. You should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.



ACKNOWLEDGMENT AND AUTHORIZATION

I acknowledge receipt of the DISCLOSURE REGARDING BACKGROUND INVESTIGATION and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by the Company at any time after receipt of this authorization and throughout my employment or volunteer service, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, insurance company or other party to furnish any and all background information requested by SecureSearchFaith, 558 Castle Pines Parkway, Castle Rock, Colorado 80108, (866) 891-1954, https://www.securesearchfaith.com/, another outside organization acting on behalf of Central Church, Inc. and/or Central Ministries, Inc., and/or Central Church, Inc. and/or Central Ministries, Inc. itself. I agree that a facsimile (“fax”) or electronic or photographic copy of this Authorization shall be as valid as the original.



You will receive a confirmation e-mail after completing and submitting this form. Attached will be a physical copy of ths form and a copy of "A summary of your rights under the fair credit reporting act" for your records.



E-SIGNATURE EXPLANATION

Please type your full legal name and today's date into the e-signature boxes below. Signify that you agree to the terms stipulated in the "DISCLOSURE REGARDING BACKGROUND INVESTIGATION" and the "ACKNOWLEDGMENT AND AUTHORIZATION".





If you are the parent of a minor completing this form please complete the "Parent E-Signature" portion below by signing and dating that section. By completing the "Parent E-Signature" section you are agreeing to authorize Central Church to complete a background check/identity verification for your minor child/dependent.