Fleming Island United Methodist Church Background Check

Authorization for Background Check

I, ____________, in connection with my application as a volunteer for FLEMING ISLAND UNITED METHODIST CHURCH ("Company") hereby authorize Screening One ("ScreeningOne") to perform a background check (including future screenings for retention, reassignment, or promotion, if applicable, and unless revoked by Applicant in writing), I understand and agree to the following:
  1. A background check is not only for the benefit of the Company, but also for the benefit of all employees and volunteers.  I have received, read, and understand the copy of "A Summary of Your Rights Under the Fair Credit Reporting Act."
  2. All reports are confidental.
  3. I may review or obtain a copy of my report as provided by law.  Screening One may be contacted by writing to: Screening One, Inc., 2233 W. 190th Street, Torrance, CA 90504.
  4. I authorize and release people, companies, references, current and former employers, schools, credit bureaus, municipal, county, state, and federal agencies and courts, and agencies that provide motor vehicle records to provide all information that is requested by Company and ScreeningOne.
  5. I further release all of the above, including Company and ScreeningOne, to the full extent permitted by law, from any liability or claims arising from retrieving and reporting information concerning me. 
  6. I agree that a copy or fax of this document shall be as valid as the original. 

Courts and other entities require the following information for identification purposes when checking public records.  It is confidential and is used for identification only.  This information will be kept in a locked file cabinet, an will not be shared with anyone other than Screening One, a certified and bonded professional screening company.  This screening is good for 3 years from date of submission.  
Please provide all addresses where you have lived for the past seven (7) years.  Include City, State, and Zip Code. 
Submit

If you have any questions, please do not hesitate to contact Valerie Coppage at val@fiumc.org, or the church office, 904-284-3366.

A Summary of Your Rights Under The Fair Credit Reporting Act