Background Check & Consent

 
Name *
Name
Present Address *
Present Address
Phone *
Phone
Date of Birth *
Date of Birth
Marital Status *
IMPORTANT QUESTIONS
AUTHORIZATION, CONSENT & AGREEMENT
I authorize the Minnesota Bureau of Criminal Apprehension to disclose all criminal history record information to The River Church for the purpose of serving in the position indicated on my advanced application (This is the application you initially filled out before this background check). *
The information contained in this application is correct to the best of my knowledge. I authorize any references or churches to give you any information (including opinions) that they may have regarding my character and fitness for children's work. In consideration of the receipt and evaluation of this application by The River Church, I hereby release any individual, Church, youth organization, charity, employer, reference, or any other person/organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever nature which may at any time result in me, my heirs or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may inspect any information provided about me by any person or organization identified by me in this application process. *
Should my application be accepted, I agree to be bound by the Bylaws and Policies of The River Church and refrain from unscriptural conduct in the performance of my services on behalf of the church. I further state that I have carefully read the foregoing release and know the contents thereof and I sign this release of my own free act. This is a legally binding agreement which I have read and understand. The expiration of this authorization shall be for a period no longer than one year from the date this application is submitted. *