Background Check for Volunteers and Employees
Calvary United Methodist Church
403 S. Main St, Mt Airy, MD 21771
Disclosure and Authorization
In connection with my application for employment or to serve as a volunteer who will have ongoing contact with children or youth at Calvary UM Church (Mount Airy), I understand that a “consumer report” and/or “investigative consumer report”, as defined by the Fair Credit Reporting Act, will be requested by Calvary UMC (Mount Airy) for employment or volunteer purposes, whichever is applicable, from Calvary UMC Mount Airy’s designated Consumer Reporting Agency as defined by the Fair Credit Reporting Act.
The background screening will check my name and identity against public lists of national and state criminal convictions and sex offender databases.
Such reports may be obtained by Calvary UM Church at any time after receipt of this Disclosure and Authorization and if I am hired or serve as a volunteer, whichever is applicable, throughout the course of my employment or volunteer service, 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 the Consumer Reporting Agency. For information about the Consumer Reporting Agency’s privacy practices, please reference the contact information located at the bottom of this form.
Acknowledgement and Authorization
By signing below, I voluntarily and knowingly authorize Calvary UM Church (Mount Airy) or its authorized agents to obtain or prepare a background screening report to include a search of my name on the National Criminal Database and National Sex Offender list. I acknowledge receipt of a copy of “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 explaining my rights under the Fair Credit Reporting Act.
Calvary United Methodist Church agrees to keep the personal information of all applicants secure and restricted to the purpose of authenticating identify and obtaining a background screening as required by the church’s Safe Sanctuary Policy (2014).
By completing this form online, you provide accurate information and your consent and authorization for background screening.