[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283771-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283771-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","background-check-authorization-form-confidential","Background Check Authorization Form - Confidential","","Confidential background check authorization form and disclosure for employment or volunteer purposes. Collects applicant identity and contact details, including former and current addresses, and includes authorizations for The Hills Church / Legacy Christian Academy to obtain consumer and investigative consumer reports. Covers potential sources such as criminal and civil history, credit, driving and motor vehicle records, education and employment history, character references, and public records. Describes FCRA-related rights and procedures for obtaining reports, including notice requirements and adverse action information.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/background-check-authorization-form-confidential/283771/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/background-check-authorization-form-confidential/283771.png","ImageObject",442,249,{"name":42,"@type":43},"Cart","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What reports may The Hills Church / Legacy Christian Academy obtain using this authorization?","Question",{"text":63,"@type":64},"They may request one or more consumer reports or investigative consumer reports for employment or volunteer purposes, including information related to criminal history, credit history, driving records, education and employment history, and other background checks.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How long does the authorization remain in effect if the applicant is hired or approved?",{"text":68,"@type":64},"The authorization is not limited to the present; if hired, it continues throughout employment or volunteer service to allow future screenings for retention, promotion, reassignment, and continued volunteerism as permitted by law, unless revoked in writing.",{"name":70,"@type":61,"acceptedAnswer":71},"What rights and disclosures are provided under the Fair Credit Reporting Act (FCRA)?",{"text":72,"@type":64},"Before the company obtains the report, written authorization is required. Before adverse action based on the report, the applicant must be provided a copy of the report, the consumer reporting agency details, and a summary of FCRA rights.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},283771,1790222050,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":22},18829141979164,"https://eur-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Background Check Authorization Form  \nCONFIDENTIAL  \nPrint Name:    \n(First Name) (Middle Name) (Last Name)  \nFormer Name (s):    \nCurrent Address (Since):    \n(Month/Year) (Street) (City) (State) (Zip)  \nPrevious Address (From):    \n(Month/Year) (Street) (City) (State) (Zip)  \nSocial Security Number:   Date of Birth:   Driver License Number:   State Issued:   Telephone Number:   Email:    \nThe information contained in this application is correct to the best of my knowledge. I hereby authorize:  \nThe Hills Church / Legacy Christian Academy and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative scope of the consumer report to be generated for employment and/or volunteer purposes. The reports may contain information about you relating to your criminal history, credit history, driving and/or motor vehicle records, education or employment history, or other background checks.  \nThe scope of this notice and below authorization is not limited to the present and, if you are hired, will continue throughout the course of your employment and/or volunteerism, and allow The Hills Church / Legacy Christian Academy to conduct future screenings for retention, promotion, reassignment, and/or continued volunteerism as permitted by law and unless revoked by you in writing.  \nI further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to The Hills Church / Legacy Christian Academy or its agents.  \nI further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources.  \n**The Hills Church / Legacy Christian Academy and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicant’s personal information, including, but not limited to: addresses, social security numbers and dates of birth.  \nSignature:   Date:    \nOFFICE USE ONLY Submit Date: Retrieve Date:  \n□ Church Employee / Volunteer □ School Employee / Volunteer  \n_______________________________________ ______________________________________  \n_______________________________________ ______________________________________  \n_______________________________________ ______________________________________  \nDisclosure Form  \nDISCLOSURE FORM TO OBTAIN CONSUMER REPORTS FOR EMPLOYMENT PURPOSES Please Read Carefully Before Signing the Authorization  \nI understand that the scope of the consumer report / investigative consumer report may include, but is not limited to the following areas: Verification of social security number, credit reports, current and previous residences, employment history, education background, character references, drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state and county jurisdictions, driving records, birth records, and anyother public record.  \nDISCLOSURE:  \nIn considering you for employment and, if you are employed, in considering you for subsequent promotion, assignment, reassignment, retention, or discipline, Legacy Christian Academy and The Hills Church may request and rely upon one or more consumer reports or investigative consumer reports about you that we obtain from one or more consumer reporting agencies.  \nFor explanation purposes:  \n• a “consumer report” is a written, oral, or other communication of any information by a consumer reporting agency bearing on your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in makin","cbCaij2PAONd3Ybd","https://ap.wps.com/l/cbCaij2PAONd3Ybd","pdf",250853,"English","# Background Check Authorization Form\n## Applicant Information\n## Authorization for Consumer/Investigative Reports\n## Confidentiality Statement\n## Signature and Dates\n# Disclosure Form\n## Scope of Consumer and Investigative Consumer Reports\n## Definitions of Consumer Report and Investigative Consumer Report\n## FCRA Notice and Rights\n## Authorization for Reports","[{\"question\":\"What reports may The Hills Church / Legacy Christian Academy obtain using this authorization?\",\"answer\":\"They may request one or more consumer reports or investigative consumer reports for employment or volunteer purposes, including information related to criminal history, credit history, driving records, education and employment history, and other background checks.\"},{\"question\":\"How long does the authorization remain in effect if the applicant is hired or approved?\",\"answer\":\"The authorization is not limited to the present; if hired, it continues throughout employment or volunteer service to allow future screenings for retention, promotion, reassignment, and continued volunteerism as permitted by law, unless revoked in writing.\"},{\"question\":\"What rights and disclosures are provided under the Fair Credit Reporting Act (FCRA)?\",\"answer\":\"Before the company obtains the report, written authorization is required. Before adverse action based on the report, the applicant must be provided a copy of the report, the consumer reporting agency details, and a summary of FCRA rights.\"}]","Background Check Authorization Form - Confidential | PDF",1789619044]