Background Screening Consent FormApplicant should complete all relevant information and sign and date this form.

Background Screening Consent


I, hereby authorize Fellowship Community Church, Inc. and/or its agents to make an independent investigation of my background that may include: references, character, past employment, education, credit history (if applicable for position), adult criminal or police records, and motor vehicle records including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information which may be material to my qualifications for service now and, if applicable, during the tenure of my employment or service with Fellowship Community Church, Inc.nnI release Fellowship Community Church, Inc. and its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name and all information is true and correct to the best of my knowledge:

PDF Page Break

*NOTE: The above information is required for identification purposes only, and is in no manner used as qualifications for employment, internship, or service as a volunteer. Fellowship Community Church abides by all applicable state and federal employment laws.