ATAP Housing Program Agreement
As an applicant for A-TAP Ministries Spiritual Housing Program, I realize a thorough background investigation will be conducted to qualify me for the program. I understand and agree this background investigation may include, but will not necessarily be limited to, interviews with, and requests for information from, law enforcement agencies, judicial officers regarding criminal convictions, educational institutions, government agencies, employer, former employer, pathways agencies and references.

I authorize the release of any information related to my previous employment, criminal convictions, rehabilitation stays (Pathways) education, residences, or character, unless law restricts such information. I request that this document, or any duly executed copy of this document, serve as my authorization to any persons, companies, government agencies or other entities to furnish A-TAP Ministries any and all such information pertaining to me that might be in their possession. I authorize the Social Security Administration to release information regarding my Social Security Number and identity information to A-TAP Ministries.

I agree to submit to random drug testing and processing as required by A-TAP Ministries.
Email address *
Full Name *
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Other Names Known By (If Different)
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Social Security Number *
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Driver's License Number
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State Issued
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Date of Birth *
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Applicant Signature (Type Full Name Here) *
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