Background Check Form

This application is to be completed by all of those desiring a leadership or ministry position with minors at Catalyst Woodland.  It is used to help the church provide a safe and secure environment for the individuals who participate in Catalyst Church.

 

Please complete the form below

First Middle Last
Gender *
Date of Birth *
Date of Birth
Telephone *
Telephone
with area code
Present Address *
Present Address
Prior Address (if at present address less than one year)
Prior Address (if at present address less than one year)
Driver's License Expiration
Driver's License Expiration
Have you been baptized? *
In caring for people at Catalyst, we believe it is our responsibility to seek volunteers who are able to provide healthy, safe, and nurturing relationships. Please answer the following questions accordingly. Please understand that others on the Catalyst Staff may review the information provided in this application. Any special concerns will be discussed individually with the Catalyst Staff.
Do you have any objections to an FBI and DOJ background check? *
Applicants Statement of Release
I hereby authorize Catalyst to verify all information contained in this application. I hereby authorize any individuals to disclose any and all information to Catalyst. I release all such persons or entities from liability that may result or arise from Catalyst's collection of all information or its consideration of my application.
*
I also grant the leadership of Catalyst permission to make any and all inquiries regarding my application for a volunteer position in Catalyst. I grant permission for any representative of Catalyst to share any information they believe may impact a decision for the volunteer position I am applying for. This release is in effect for 90 days from the date I submit my application to the Catalyst staff.
*
Should my application be accepted, I agree to refrain from un-biblical conduct in the performance of my service on behalf of the church. I certify that the above information and statements are true and complete to the best of my knowledge. I understand the personal information provided in this application will be held confidential by the Catalyst staff.
*
Please place a forward slash before and after your name, to indicate your signature:
Date *
Date