AUTHORIZATION FOR BACKGROUND CHECK

 

In the interest of maintaining the safety and security of our attendees, employees, staff and volunteers, Bridgewood Church (“Bridgewood”) will order a background report on you in connection with your volunteer application, and if you are approved, may order additional background reports on you for similar purposes.

The background report may contain information concerning your character, general reputation, or personal characteristics.  The types of information that may be ordered include but are not limited to:  criminal, public, and, as appropriate, driving records checks.  The information will be obtained from public record sources. 

I also authorize the following agencies and entities to disclose to Bridgewood and its agents all information about or concerning me, including but not limited to: law enforcement and all other federal, state and local agencies; federal, state and local courts; and motor vehicle records agencies.  The information that can be disclosed to Bridgewood and its agents includes, but is not limited to, information concerning my, motor vehicle history, criminal history, and substance abuse history.

I agree the Company may rely on this authorization to order background reports from companies or sources for the above referenced purposes.  I also agree that a copy of this form is valid like the signed original.  I certify that all of my personal information on this form is true and correct and understand that dishonesty will disqualify me from consideration as a volunteer with Bridgewood, or if I am already volunteer, that my status as such may be terminated.