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 Greenwood Baptist Church through its independent contracter, to procure background information (also known as a “consumer report and/or investigative consumer report”) about me. This report may include my driving history, including traffic citations; a social security number verification; present anf former addresses; criminal and civil history/records; and the state sex offender records.

I understand that I am entitled to a complete copy of any background information report of which I am the subject upon my request to Greenwood Baptist Church, if such is made within a reasonable time from the date it was produced (2 months). I also understand that I may receive a written summary of my rights under the Fair Credit Reporting Act.

By entering information in the following fields, the applicant acknowledges consent.

Fields marked with an * are required