I hereby request and release The Tabernacle Church from any liability associated with acquiring, viewing, or acting upon any information which pertains to any record of convictions contained in law enforcement files or in any criminal file maintained on me whether local, state, or national.

I hereby release local, state, and national law enforcement agencies from any and all liability resulting from such disclosure.

I hereby authorize The Tabernacle Church to speak at its discretion with anyone deems appropriate in making determination about the applicant’s/volunteer’s suitability and character.

I hereby state that all the provided information is true. I agree to abide by all instructions from The Tabernacle staff and affirm there are no reasons I am unsuitable to act as a volunteer.

I hereby authorize The Tabernacle Church to run a background check on me periodically.

Furthermore, I acknowledge that the disclosure of confidential information could be prejudicial to individuals and/or The Tabernacle Church and contrary to its interests. Accordingly, I will respect the confidentiality of such information and will agree not to discuss nor disclose it to any person and not make any use of such information for any purpose whatsoever. This undertaking on my part shall continue to have full effect notwithstanding the ending of my volunteer position with The Tabernacle Church.

By filling out and submitting this form, you authorize The Tabernacle to complete a background check search for the purpose of employment and/or serving as a volunteer.