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Background Check Consent Form
In connection with my application for employment or to serve as a volunteer with Life Spring Church (client) , I understand that a "consumer report" and/or "investigative consumer report", as defined by the Fair Credit Reporting Act (15 U.X.C. SS 1981). will be requested by Client for employment or volunteer purposes, whichever is applicable, from SecureSearch Faith, Inc. ("SecureSearch Faith"), 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 vehicle records, social security number verification, verification of education or employment history, worker's compensation (only after a conditional job offer) or other background checks. Such reports may be obtained at any time after receipt of the Disclosure and Authorization and if I am hired or serve as a volunteer, whichever is applicable, through the course of my employment of volunteer service, as permitted by law and unless revoke by me in writing. Client also reserves the right to share my report with any third-party with whom I will be placed to work or volunteer with time after the receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report to SecureSearch Faith, 3853 Northdale Blvd. Suite 392 Tampa, FL 33624 or 1-866-378-8389. For information about SecureSearch Faith's privacy practices, see
Acknowledgement and Authorization
By signing below, I authorize Client or its authorized agents to obtain or prepare consumer reports or investigative consumer reports about me. I acknowledge receipt of a copy of the federal notice entitled A Summary of Your Rights under the Fair Credit Reporting Act and certify that I have read this Disclosure and Authorization as well as the summary document explaining my rights under the fair Credit Reporting Act.
Social Security Number
Driver's License or State ID
For identification purposes only, please provide full DOB:
Please List Other Names Used
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