Monterey Baptist Church
Friday, September 20, 2019
Pastor Daryl L. Poe

Addendum 1: Background Investigation

Notice to Volunteers Regarding Background Investigation
 

I understand that a consumer report (background screening report) and/or an investigative consumer report (reference checks and/or interviews) that may include information from public or private sources regarding my character, driving records, criminal history, court records (both civil and criminal), qualifications and experience, work habits, and /or other information relevant to my volunteer service may be obtained in connection with my application as a volunteer with Monterey Baptist Church.

I understand that, if I am approved for volunteer service by Monterey Baptist Church, this background check authorization will be kept on file and may be used at any time during my service to procure further information when, in the judgment of Monterey Baptist Church, such may be necessary.

I hereby release and discharge to the extent permitted by law, Monterey Baptist Church, its employees, any individual or agency obtaining information for Monterey Baptist Church, and any personal or professional reference, from any and all claims, damages, losses, liabilities, costs, or other expenses arising from the retrieving, reporting and/or disclosure of information in connection with this background investigation.

I understand that I am volunteering my services and declare in no way shall I be considered an employee or subcontractor or independent contractor of Monterey Baptist Church.

By signing below, I,_____________________, have read, understand and consent to the above. I further authorize that a photographic copy or telephonic facsimile of this document shall be valid for purposes present and future. My signature below certifies that all information I have provided in connection with this background check is true, accurate and complete to the best of my knowledge.

I understand that I have specific prescribed rights as a consumer under the Fair Credit Reporting Act and may have additional rights under relevant state laws.   I hereby certify that I have read the Summary of Rights under the Fair Credit Reporting Act:

@ https://www.hireright.com/PDFs/SummaryofYourRightsUndertheFCRA.pdf .  

AUTHORIZATION
_______________________________________                  __________________________

Print Name (last, first, middle)                                                                    Social Security Number 

 

________________________            _________________             _____________________

Date of Birth (MM/DD/YYYY                       Driver’s License Number                 Driver’s License State

 
Any other names I have been known by:__________________________________________________________
 
Current Address:_____________________________________________________________________________
 
Previous Addresses (Last 10 years)_______________________________________________________________
 
 
___________________________________________                              ____________________________
Signature                                                                                                       Date