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  • MNLT Background Check Form

    MNLT requires a criminal background check for everyone over 18 who will be camping and attending our events. We consider all of our attendees to these events as volunteers and therefore we conduct a church-based volunteer screening. We are passionate about taking every precaution to protect our children and members, and we employ this process as one step towards that goal. No one with a record of sexual abuse or domestic violence will be allowed to camp on the grounds or attend our events. Please complete and submit this form for everyone over 18. Please direct all questions you may have on this requirement to the MNLT board of directors. After completing this form, you will be sent an official request from our background check company CIA - Clear Investigative Advantage. Please fill out the check and consents when you receive the request.
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    • Please note that you will be sent a seperate email from MNLT and Clear Investigative Advantage (CIA) for your check.    You will input all of your information and sign the concents virtually.      Please look for this additional email within 24 hrs of completing this form and paying the fee. 

      If you require financial assistance, or would rather fill out a paper form, please let us know ASAP.    If there is adequate time for you to come in and fill out a paper form before the event, you may be allowed to do so, but our preference is that you complete the check via the CIA email link.

      Once you fill out the form, the results will be emailed to you as well as the MNLT office.

      Please note that MNLT is only going to obtain your criminal history and will NOT be pulling any type of credit or financial information. We simply have to include the FCRA disclosure in it's entirety as it is the standard form that has to be used for both background an credit checks, but we are ONLY pulling criminal background information, and are not pulling any type of financial or credit information. Please contact us if you have any questions regarding this. Please check below that you understand and agree to this statement.

       

    • Clear
    • Authorization for Background Check

    • Authorization
       

      Authorization: By signing this form and providing your info, you authorize: (a) backgroundchecks.com (“BGC”) to request information about you from any public or private information source; (b) anyone to provide information about you to BGC; (c) BGC to provide Messiah's New Life Tabernacle one or more reports based on that information; and (d) us to share those reports with others for legitimate business purposes related to your employment. BGC may investigate your education, work history, professional licenses and credentials, references, address history, social security number validity, right to work, criminal record, lawsuits, driving record, credit history, and any other information with public or private information sources. You acknowledge that a fax, image, or copy of this authorization is as valid as the original. You make this authorization to be valid for as long as you are an applicant or employee with us.

       The Consumer Financial Protection Bureau’s “Summary of Your Rights under the Fair Credit Reporting Act” is attached to this authorization. If you are a New York applicant, a copy of New York’s law on the use of criminal records is attached. By signing below, you acknowledge receipt of these documents.

       

      Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.


      By signing this form, you acknowledge that: (a) you received the following separate documents, (b) they are clear, conspicuous, and separate from any other documents, (c) you read and understood them, and (d) we may rely on them for one or more background investigations and resulting reports:
      • Disclosure About Background Check on You
      • Additional Notice About Investigative Consumer Reports
      • A Summary of Your Rights Under the Fair Credit Reporting Act
      • Additional Notice About Medical Information
      • Additional Notices Under State Law (including any other documents it identifies)
      By signing below, you (a) authorize and permit us Messiah's New Life Tabernacle to obtain “consumer reports” and “investigative consumer reports” about ; (b) authorize any consumer reporting agency from whom we request those reports to obtain information about your from any public or private information source; (c) authorize anyone to provide information about you to that consumer reporting agency; (d) authorize and instruct that consumer reporting agency to provide those reports to us; (e) consent to those reports including results of fitness‐for‐duty assessments, drug tests, and alcohol tests; and (f) authorize us to share those reports with others for legitimate business purposes related to your application or relationship with us.
      By signing below, you acknowledge that a fax, image, or copy of this authorization is as valid as the original.
      By signing this form, you make these acknowledgments and authorizations to be valid for the duration of your application or relationship with us.


      Para información en español, visite www.consumerfinance.gov/learnmore o escribe a la Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.

       


      A Summary of Your Rights Under the Fair Credit Reporting Act


      The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under FCRA. For more information, including information about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552.
       You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment – or to take another adverse action against you – must tell you, and must give you the name, address, and phone number of the agency that provided the information.
       You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your “file disclosure”). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if:
      o a person has taken adverse action against you because of information in your credit report;
      o you are the victim of identity theft and place a fraud alert in your file;
      o your file contains inaccurate information as a result of fraud;
      o you are on public assistance;
      o you are unemployed but expect to apply for employment within 60 days.
      In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information.
       You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender.
       You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer
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      reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures.
       Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete, or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate.
       Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old.
       Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need – usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access.
       You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to www.consumerfinance.gov/learnmore.
       You may limit “prescreened” offers of credit and insurance you get based on information in your credit report. Unsolicited “prescreened” offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address form the lists these offers are based on. You may opt out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688).
       The following FCRA right applies with respect to nationwide consumer reporting agencies:
      CONSUMERS HAVE THE RIGHT TO OBTAIN A SECURITY FREEZE
      You have a right to place a “security freeze” on your credit report, which will prohibit a consumer reporting agency from releasing information in your credit report without your express authorization. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. However, you should be aware that using a security freeze to take control over who gets access to the personal and financial information in your credit report may delay, interfere with, or prohibit the timely approval of any subsequent request or application you make regarding a new loan, credit, mortgage, or any other account involving the extension of credit.
      As an alternative to a security freeze, you have the right to place an initial or extended fraud alert on your credit file at no cost. An initial fraud alert is a 1-year alert that is
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      placed on a consumer’s credit file. Upon seeing a fraud alert display on a consumer’s credit file, a business is required to take steps to verify the consumer’s identity before extending new credit. If you are a victim of identity theft, you are entitled to an extended fraud alert, which is a fraud alert lasting 7 years.
      A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account that requests information in your credit report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements.
       You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court.
       Identity theft victims and active duty military personnel have additional rights. For more information, visit www.consumerfinance.gov/learnmore.
      States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact:
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      TYPE OF BUSINESS:
      CONTACT:
      1.a. Banks, savings associations, and credit unions with total assets of over $10 billion and their affiliates
      b. Such affiliates that are not banks, savings associations, or credit unions also should list, in addition to the CFPB:
      a. Consumer Financial Protection Bureau
      1700 G Street, N.W.
      Washington, DC 20552
      b. Federal Trade Commission
      Consumer Response Center
      600 Pennsylvania Avenue, N.W.
      Washington, DC 20580
      (877) 382-4357
      2. To the extent not included in item 1 above:
      a. National banks, federal savings associations, and federal branches and federal agencies of foreign banks
      b. State member banks, branches and agencies of foreign banks (other than federal branches, federal agencies, and Insured State Branches of Foreign Banks), commercial lending companies owned or controlled by foreign banks, and organizations operating under section 25 or 25A of the Federal Reserve Act.
      c. Nonmember Insured Banks, Insured State Branches of Foreign Banks, and insured state savings associations
      d. Federal Credit Unions
      a. Office of the Comptroller of the Currency
      Customer Assistance Group
      1301 McKinney Street, Suite 3450
      Houston, TX 77010-9050
      b. Federal Reserve Consumer Help Center
      P.O. Box 1200
      Minneapolis, MN 55480
      c. FDIC Consumer Response Center
      1100 Walnut Street, Box #11
      Kansas City, MO 64106
      d. National Credit Union Administration
      Office of Consumer Financial Protection (OCFP)
      Division of Consumer Compliance Policy and Outreach 1775 Duke Street
      Alexandria, VA 22314
      3. Air carriers
      Asst. General Counsel for Aviation Enforcement & Proceedings
      Aviation Consumer Protection Division
      Department of Transportation
      1200 New Jersey Avenue, S.E.
      Washington, DC 20590
      4. Creditors Subject to the Surface Transportation Board
      Office of Proceedings, Surface Transportation Board
      Department of Transportation
      395 E Street, S.W.
      Washington, DC 20423
      5. Creditors Subject to the Packers and Stockyards Act, 1921
      Nearest Packers and Stockyards Administration area supervisor
      6. Small Business Investment Companies
      Associate Deputy Administrator for Capital Access
      United States Small Business Administration
      409 Third Street, S.W., Suite 8200
      Washington, DC 20416
      7. Brokers and Dealers
      Securities and Exchange Commission
      100 F Street, N.E.
      Washington, DC 20549
      8. Federal Land Banks, Federal Land Bank Associations, Federal Intermediate Credit Banks, and Production Credit Associations
      Farm Credit Administration
      1501 Farm Credit Drive
      McLean, VA 22102-5090
      9. Retailers, Finance Companies, and All Other Creditors Not Listed Above
      Federal Trade Commission
      Consumer Response Center
      600 Pennsylvania Avenue, N.W.
      Washington, DC 20580
      (877) 382-4357

    • 1. Electronic Signature Agreement. By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise
      provide Messiah's New Life Tabernacle, or in accessing or making any transaction regarding any agreement,acknowledgement, consent terms, disclosures or conditions constitutes your signature
      (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and Messiah's New Life Tabernacle. 

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