Volunteer Screening
By clicking "Submit" at the bottom of this form you agree to allow Fellowship of the Parks to run a background screening on you so that you may volunteer at Fellowship of the Parks.
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Legal Name (First, Middle, Last): *
Please provide your First, Middle, and Last Name, suffix (if you have one). (eg.John Bill Doe, Jr)
Former name(s):
ie: Maiden name
Campus: *
Choose the campus where you serve
Which Ministry is this for? *
Choose One
Date of Birth: *
Month, Day, Year (eg. March, 31, 1980)
Social Security Number *
Email Address: *
Authorization to Conduct Background Check
In connection with my application to serve as a volunteer with Fellowship of the Parks (“Client’), I understand that a “consumer report” and/or “investigative consumer report”, as defined by the Fair Credit Reporting Act, will be requested by Client for volunteer purposes from Protect My Ministry, Inc., (“Protect My Ministry”), a consumer reporting agency as defined by the Fair Credit Reporting Act.  These reports may include information as to my character, general reputation, personal characteristics or mode of living, whichever are applicable. The report may also contain information about me relating to my criminal history, credit history (a credit history is not run by FOTP), driving and/or motor vehicle records, social security number verification.  Such reports may be obtained at any time after receipt of this Disclosure and Authorization and if I serve as a volunteer, 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 consumer 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.  
 I wish to request a copy of "A Summary of Your Rights under the Fair Credit Reporting Act" in order to read  the Disclosure and Authorization as well as the summary explaining my rights under the Fair Credit Reporting Act. *
Acknowledgement and Authorization
By typing my name below, I voluntarily and knowingly authorize Client or its authorized agents to obtain or prepare consumer reports or investigative consumer reports about me.
Typed Name for Background Check Authorization *
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