Disclosure and Authorization - Background Ivestigation
In connection with my application for employment or to serve as a volunteer with Genoa Baptist Church, I understand that a "consumer report" and/or "investigative consumer report", as defined by the Fair Credit Reporting Act, will be requested by Genoa Baptist Church for employment or volunteer puposes, whichever is applicable, from Protect My Ministry, Inc., ("Proctect My Ministry"), a consumer reporting agency as defined by the Fair Credit Reporting Act. These reports may include inofrmation as to my character, general reputation, personal characteristics or mode of living, whichever are applicable. They may involve ineterveiws with sources such as my neighbors, freinds or associates. The report may also contain information about me relating to my criminal history, credit history, driving and/or motor 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 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 Protect My Minsitry, 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.
Acknowledgement and Authorization
By signing below, I voluntarily and knowingly authorize Genoa Baptist Church or its authorized agents to obtain or prepare consumer reports or investigative consumer reports about me. I acknowledge receipt of a copy of A Summary of Your Right 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.