Background Check Form
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Date
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Hour
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Minutes
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AM/PM Option
Please Check all Organizations you will be volunteering with
*
Spring Hills Baptist Church
Look Up Center
Faith Outpost
Kingdom Pillars
Personal Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Social Security Number
*
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Phone Type
*
Mobile
Home
Email
*
example@example.com
Are you a Member/Attender at Spring Hills Baptist Church?
*
Yes
No
How long have you been attending SHBC?
*
Do you have a Home Church?
*
Yes
No
Church Name
*
Church Reference Name
*
First Name
Last Name
Reference Phone Number
*
Reference Email
*
example@example.com
Occupation
*
Employer
*
What Ministries will you/are you involved with? (Please check all that apply)
*
Children's Ministries (AWANA, Kids Choir, Kids Korner, Gear Up, Homeschool Ministry, VBS, etc.)
Youth Ministries (Amplify, Uth, Homeschool, Gear Up, Skyview Ranch)
Missions Cafe
Book Room Ministry
Offering Counter
Van Ministry
Safety & Security
Social Media Team
Sonshine Preschool
Granville Christian Academy
SHBC Staff
Photography Team
Personal History
Have you at any time ever:
Been arrested for any reason?
*
Yes
No
Been convicted of, or pleaded guilty or no contest to any crime, other than a moving traffic violation?
*
Yes
No
Engaged in, or been accused of, any child molestation, exploitation, or abuse?
*
Yes
No
Are you aware of:
Having any traits or tendencies that could pose any threat to children, youth, or others?
*
Yes
No
Any reason why you should not work with children, youth, or others?
*
Yes
No
If the answer to any of these questions is "yes", please explain in detail:
Driving information
Do you have your own transportation?
*
Yes
No
Do you have a valid driver's license?
*
Yes
No
Driver's License Number
State of Issue
Picture of Driver's License
Browse Files
Cancel
of
Do you have a Vehicle Liability Insurance?
*
Yes
No
Vehicle Liability Insurance Card
Browse Files
Cancel
of
Applicant's Name
*
First Name
Last Name
Signature
*
Submit
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