Permission to Obtain a Background Check

This form authorizes the church to obtain background information and must be completed by the applicant. The church must keep this completed form on file for at least two years after requesting a background check. I, the undersigned applicant (also known as "consumer"), authorize gracespring Bible Church through its independent contractor, Protect My Ministry, to procure background information (also known as a "consumer report and/or investigative consumer report") about me. I understand that this authorization and release is valid for future background information requests during my period of service with gracespring Bible Church for the purpose of investigating any incidents of workplace misconduct or criminal activity for which I am alleged to have been involved during my service. These above-mentioned reports may include my driving history, including any traffic citation; a social security number trace; present and former addresses: criminal and civil history/records; any other public records. I further authorize any person, business entity or government agency that may have relevant information to disclose it to gracespring Bible Church through Protect My Ministry, including any courts, public agencies, law enforcement agencies and credit bureaus. I understand that I am entitled to a complete copy of any background information report of which I am subject upon my written request to Protect My Ministry, if such is made within a reasonable time from the date it was produced. I also understand that I may receive a written summary of my rights under the Fair Credit Reporting Act.

Identifying Information for Background Information Agency (Protect My Ministry)

Please complete in its entirety. - Thank you.