Eastview Wesleyan Background Check

Any adult (18 & up) who volunteers for any ministry at Eastview Wesleyan is required to have an annual background check. Thank you for your interest in volunteering in our ministry.

To print and complete a hard copy of the background check, go to https://www.eastviewwesleyan.com/background-check-pdf/

First, Middle Initial, Last Name

Gender

Please select one option.

Male Female

Race

Please select one option.

White Black Multi Racial American Indian Other

Address

Phone

Birthday

City & State of Birth

Social Security #

Have you ever been convicted of any drug or child abuse related crimes?

Please select one option.

Yes No

Have you ever been convicted of any crimes related to violence?

Please select one option.

Yes No

Have you ever been convicted of a major traffic violation, including DUI?

Please select one option.

Yes No

Have you ever been convicted of ANY misdemeanor or felony crimes?

Please select one option.

Yes No

Have you ever been charged with a crime for which there has not been an acquittal or dismal?

Please select one option.

Yes No

Have you ever had a restraining order filed against you?

Please select one option.

Yes No

If "Yes" to any questions, please complete the following:

Date

County & State

Type of Offense

Explanation

The facts set forth on this form are true and complete to the best of my knowledge. I understand that false statements on this form shall be considered sufficient cause for non-consideration as a volunteer. By entering my name below, I authorize the Eastview Wesleyan Church to check criminal and/or civil records.

First, Middle Initial, Last Name

Date

Description

Any adult (18 & up) who volunteers for any ministry at Eastview Wesleyan is required to have an annual background check. Thank you for your interest in volunteering in our ministry.

Eastview Wesleyan Background Check

Description

Please Fix the Following