Worthington Christian BCI

Volunteer Background Check

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Campus / Event *

First Name *

Middle Name *

Last Name *

Gender *

Address *

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City

State

Zip Code

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Date of Birth (MM/DD/YY) *

E-Mail Address *

Social Security Number *

Worthington Christian Schools Volunteer Confidentiality Agreement.
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I have read and agree to the Worthington Christian School Volunteer Confidentiality Agreement *

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I hereby give Worthington Christian School, Inc. the authority to use my social security number for a criminal background check as part of the volunteer application process. I understand WC reserves the right to refuse acceptance as a volunteer pending the results of the check.
I 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 Worthington Christian School, Inc. or its agents.

By typing your complete name, you are electronically signing this Volunteer Background Check Form

Electronic Signature: *

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Volunteer Background Check

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