Hope Church Background Investigation Consent Form

Your name *

Email address *

Consent *

I hereby authorize HOPE CHUCH and/or its agents, to make an independent investigation of my background, references, character, past employment, adult criminal or police records, and motor vehicle reports. All records are for the purpose of confirming the info currently on file with HOPE CHURCH and/or obtaining other information, which may be material to my qualifications for service now and, during the course of your employment or service with HOPE CHURCH. (Answer: I, YOUR NAME, consent)

Have you ever been convicted of a felony? *

Yes

If you answered yes, please explain

Liability Release

I release HOPE CHURCH and its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regard to the information obtained from any and all of the above reference sources used.The following is my true and complete legal name and all information is true and correct to the best of my knowledge.

Last Name: *

First Name: *

Middle Name:

Name as it appears on Social Security Card:

Birthdate *

Gender: *

Male

Female

Email Address: *

Phone number *

Social Security Number: *

Full Address: *

Street number and name, City, State & Zip (No PO Box)

Campus & Team you plan to serve on: *

Signature & Date *

Please just type in your name and today's date: