Business Forms
 
Assistant
 
Ask A Question
 
Business Directory
 


Sample Church Background Check Template

A template to use when conducting a background check for future potential church employees or volunteers.






Business Network Members
  1. M & K's Divive Dining
  2. 1PlaceTech
  3. Elizabeth Smith Cleaning Ser
  4. Living Truth Church






Church Background Check Template

Word   PDF  



Church Background Check


Name: ________________________________________________________________________

Maiden or other name(s) in any and all other records of birth or records of residence:

______________________________________________________________________________

Address: ______________________________________________________________________

City: ____________________________________ State: ________ Zip: ____________________

Date of Birth: ____/____/______ Place of Birth: _______________________________________

Social Security Number: ________________________________________________

Gender: [__] Male [__] Female

Race: ____________________

Drivers License Number: __________________________________ State: ______

Do you have a Photo ID? [__] Yes [__] No

Home Phone: ____________________________ Cell Phone: ____________________________

Email: ________________________________________________________________________

Emergency Contact: _____________________________________________________________

Emergency Contact Phone Number: ________________________________________________

NOTE: THE FOLLOWING IS TO BE USED FOR CRIMINAL HISTORY CHECKS ONLY AND NOT TO BE APART OF THE PERSONNEL FILE

References – Name Phone Number

1. ________________________________________________________________________

2. ________________________________________________________________________

3. ________________________________________________________________________


I, _____________________________________, am an applicant for employment / volunteer work with ____________________________________ church / division and have been advised that as a part of the application process, the church / division conducts a criminal history background check. I do hereby consent to the church / division to use any information that is provided in this application to perform a criminal history check. The church / division has informed me that I have the right to review and challenge any negative information that would adversely impact a decision to offer volunteer / employment work. In addition, I have been informed that I will have a reasonable opportunity to clear up any mistaken information reported within a reasonable time frame established within the sole discretion of the church / division. Under the Fair Credit Reporting Act, I have been advised that upon request I will be provided the name, address and telephone number of the reporting agency as well as the nature, substance and source of all information.

The following are my responses to questions about my criminal history (if any):

1. Have you ever been convicted or plead guilty before a court for any federal, state or municipal criminal offense? (Excluding minor traffic misdemeanors). [__] Yes [__] No

If yes, please provide the details below:

State: _________ County: __________________ Date of Offense: ____/____/______

Details of Conviction: ______________________________________________________

2. Have you ever received deferred adjudication or similar disposition for any federal, state or municipal offense?

[__] Yes [__] No

If yes, please provide the details below:

State: _________ County: __________________ Date of Offense: ____/____/______

Details of Conviction: ______________________________________________________

3. Have you ever received probation or community supervision for any federal, state or municipal offense?

If yes, please provide the details below:

State: _________ County: __________________ Date of Offense: ____/____/______

Details of Conviction: ______________________________________________________

4. Have you ever been convicted of any criminal offense in a country outside of the jurisdiction of the United States?

If yes, please provide the details below:

State: _________ County: __________________ Date of Offense: ____/____/______

Details of Conviction: ______________________________________________________

5. As of the date of this consent form, do you have any pending charges against you?

If yes, please provide the details below:

State: _________ County: __________________ Date of Offense: ____/____/______

Details of Conviction: ______________________________________________________

Please list all counties and states of residence since the age of eighteen:

City / Town County State Country

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

I hereby certify that all the information that is provided in this consent form is true, correct and complete. All Offers of Employment / Volunteer are contingent upon the applicant’s successful completion, as determined by the employer’s sole discretion, of this criminal history / background check.


______________________________________________________________________________
Signature of the Applicant


Authorized Person Requesting a Background Check:


Print Name: ____________________________________________________________


Signature: _____________________________________________________________










Business Network Members
  1. Professional Color Applicati
  2. H.M. Elliott, Inc
  3. Food Fight, Inc
  4. Southwest Industrial Service






Organization & Communication

Communication
Letterhead Template
Blank Memo
Fax Cover Sheet
Binder Cover
Daily To Do List
Business Daily Journal
Petition Template
High School Reunion Program
Family Reunion Registration
Change Request Form
Late Rent Notice
Security Deposit Refund Letter
Late Fee Notice
Tenant Verification Form
Patient Genetic History Form
Medical Records Request Letter
Donation Request Form

Maintenance & Repair
Maintenance Request
Repair Request
PC Repair Request
Machine Maintenance Request
Work Order Template
Daily Crane Inspection
Daily Bathroom Inspection
Fire Sprinkler Inspection
Landlord Complaint Letter
Daycare Cleaning Checklist
House Cleaning Checklist

Meetings
Event Planning Template
Meeting Room Schedule
Meeting Agenda
Meeting Summary
Meeting Minutes



BOD Communications
Board of Directors Meeting Minutes
Board Resolution Letter

Organizational Charts
Blank Organizational Template
Restaurant Organizational Chart

Church & Weddings
Church Organizational Chart
Church Bulletin
Church Background Check
Free Bible Request Form
Wedding Planner
Wedding Guest List
Prayer Request Form
Church Directory
Church Membership Form
Church Staff Evaluation

Work Log Books
Daily Construction Work Log
Daily Caregiver Logbook Form
Lawn Service Report Card
Lawn Mower Equipment Service Record
Air Conditioning Service Record
DVD Duplication Request Form
Aquarium Testing Log

Meals & Food
Restaurant Menu
Food Temperature
Daily Meal Log






Home - Sign In - Contact - Privacy Policy - Business Assistant - Ask A Question - Business Directory - Marketing Trends - Business Forms - Starting A Business - Business Ideas - Service Contracts - Agreements & Notices - Engagement Letters - Vehicle & Transportation - Attendance & Scheduling - Organize & Communicate - Hiring An Employee - Employee Performance - Training & Coaching - Continuous Improvement - Sales, Bids & Estimates - Payroll & Accounting - Purchasing & Receiving

© Copyright 2017