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During the application process and at any time during the tenure of my employment with Grace Covenant Church, I hereby authorize Grace Covenant Church to procure criminal background checks through ChoicePoint Services Inc. or the State of Texas DPS, and when appropriate, a consumer report (known as an investigative report in California) through ChoicePoint Services Inc., which I understand may include information regarding my credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. This report may be compiled with information from credit bureaus, courts record repositories, departments of motor vehicles, past or present employers and educational institutions, governmental occupational licensing or registration entities, business or personal references, and any other source required to verify information that I have voluntarily supplied.
I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification, to the extent that such investigation includes information bearing on my character, general reputation, personal characteristics or mode of living.
Date:
Name:
Address:
Social Security Number:
Date of birth:
Signature:
