Background Check Form

State law requires anyone working with minors or vulnerable adults to be subject to a background check. If you have requested to serve in any group at The Mill Church that involves minors or vulnerable adults, please fill out the form below. These groups include but are not limited to Kidzones, SHIFT Student Ministries, and 4:10 Ministries.

Name

First Name

Last Name

Email Address

Address

Social Security Number

Birthdate

MM

DD

YYYY

Type First and Last Name Here

By typing my name here and submitting this form, I grant The Mill Church permission to perform a background check on me for the purposes of serving the minors or vulnerable adults through The Mill Church's programming.

By submitting this form, you give The Mill Church permission to run a background check on you for the purposes of serving the minors or vulnerable adults through The Mill Church's programming.

Background Check Form

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