DISCLOSURE and AUTHORIZATION – BACKGROUND INVESTIGATION
In connectioIn connection with my application to serve as a volunteer in Children’s Ministries at Bethany Baptist Church (“Client’), I understand that a criminal background check will be requested by Client for volunteer purposes from Protect My Ministry, Inc., (“Protect My Ministry”). The scope of this background check will include a search of the following:
•National Criminal Database
•National Sex Offender Registry
•Home State and County criminal records
•Social Security Number verification
The results of this check may be obtained at any time after receipt of this Disclosure and Authorization and, if I serve as a volunteer, throughout the course of my volunteer service, as permitted by law and unless revoked by me in writing. I understand that I have the right, upon written request made within a reasonable amount time after the receipt of this notice, to request disclosure of the nature and scope of any investigative report to Protect My Ministry, Inc., 14499 N. Dale Mabry Hwy., Suite 201 South, Tampa, FL 33618 or 1-800-319-5581. For information about Protect My Ministry’s privacy practices, see www.protectmyministry.com.
Acknowledgement and Authorization
Success! This form has been submitted. Once your information has been submitted to Protect My Ministry, you will receive an email with a link to your online training module. If you have any questions, please contact the church office.