You're Almost There - Crossroads Background Check Authorization

Thank you for your interest in serving at Crossroads Community Church! Your contribution makes a difference in other people's lives and we look forward to getting to know you more. Please fill out the form below and we will be in touch soon.

Name Name First Middle Last
Are you:

Are you: 14 to 18 18 or over Under 14
DOB DOB / MM / DD YYYY
Gender

Gender Female Male
Social Security Number (only used for background check and kept completely confidential)
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Best Phone Best Phone - ### - ### ####
Email
Have you ever been removed from from ministry?

Have you ever been removed from from ministry? Yes No
If you have been removed from ministry, for any reason, please explain here.
Which ministry are you applying to?
Please provide references

References should not be relatives or individuals with strong personal ties to the prospective volunteer which might make them uncomfortable providing information that reflects negatively on the prospective volunteer.

References should have knowledge of and experience with the prospective volunteer’s qualification to work with children, youth, or vulnerable adults. Key leaders at churches previously attended and prior employers are particularly useful references.
Personal Reference 1 Name Personal Reference 1 Name First Last
Email
Personal Reference 2 Name Personal Reference 2 Name First Last
Email

**You're Almost There - Crossroads Background Check Authorization**

**You're Almost There - Crossroads Background Check Authorization**

Please provide references

You're Almost There - Crossroads Background Check Authorization

You're Almost There - Crossroads Background Check Authorization