2. Background Authorization

Request for background check

Your name *

Email address *

Today's Date *

Maiden Name | Full Name | Other Names Used *

Address *

Birthdate *

Place of Birth *

Social Security Number *

Driver's License Number (& State) *

example: TN #123456780

I hereby authorize First United Methodist Church Morristown to do a background check through Trak 1. *

I understand that this check will include a State and National Criminal & Sexual Offender search plus a Social Trace to verify my identity. *

I release First United Methodist Church Morristown and Trak 1 from any and all liabilities, claims, or lawsuits. *

I am aware that FUMC Morristown will use this background information to help determine whether or not I am qualified to work with children/youth. *