This is a consent form that allows Chapelwood United Methodist Church to perform a criminal history/background check every three years in compliance with the FCRA (Fair Credit Reporting Act). Please read it carefully, and acknowledge your acceptance by checking the box below.
I am an applicant to volunteer with Chapelwood United Methodist Church and have been advised that as a part of the application process, the church conducts a criminal history backgorund check. I do hereby consent to Chapelwood United Methodist Church's use of any information provided during the application process in performing the criminal history check. Chapelwood United Methodist Church has informed me that i have the right to review and challenge any negative information that would adversely impact a decision to offer volunteer 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.
Additionally, I authorize any references or churches listed in this application to give you any information, including opinions, which they have have regarding my character and fitness for working with children, youth, or vulnerable adults. In consideration of the receipt and evaluation of this application by Chapelwood United Methodist Church, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, their heirs and assigns, from any and all liability for damages of whatever kind of nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.
I hereby certify that all information provided in this consent form is true, conrrect, and complete. All offers of volunteer opportunities are contingent upon applicant's successful completion, as determined in the church's sole discretion, of this criminal history/background check. Should my application be accepted, I have read and agree to be bound by the attached Child, Youth, and Adult Safety Policy for Chapelwood United Methodist Church and to refrain from conduct in violation of the attached policies in the performance of my services on behalf of the church.