Team ONE Background Check Form

To be filled out if you are applying for Kids for the One, TAG Student Ministries or Usher Teams. 

Background Check
REQUEST AND AUTHORIZATION FOR CRIMINAL and BACKGROUND RECORDS CHECK
Name *
Name
Date of Birth *
Date of Birth
Address
Address
Notice and Acknowledgement
[IMPORTANT – PLEASE READ CAREFULLY BEFORE SIGNING] NOTICE REGARDING BACKGROUND INVESTIGATION Organization may obtain information about you from a consumer reporting agency. 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 be obtained at any time after receipt of your authorization and throughout your involvement. 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. The report will be done by: Clear Investigative Advantage LLC, 17000 Preston Road Suite 140, Dallas TX 75248, Tel: 888-242-2503 or another outside organization. The scope of this notice and authorization is all-encompassing, however, allowing ONEchapel to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and throughout the course of your involvement to the extent permitted by law. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.
Acknowledgement and Authorization
I acknowledge receipt of the NOTICE 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” at any time after receipt of this authorization and throughout my involvement. 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, or insurance company to furnish any and all background information requested by Clear Investigative Advantage or another outside organization acting on behalf of ONEchapel. I agree that a facsimile (“fax”) or photographic copy of this Authorization shall be as valid as the original.
Name: By printing your name below you acknowledge that you give permission for ONEchapel to submit your background check.
Name: By printing your name below you acknowledge that you give permission for ONEchapel to submit your background check.
Today's Date
Today's Date

Download Background Check Form 

If you prefer not to fill out the Background Check form online you may download it and bring it the ONEchapel offices.