Kid Point Background Check
This background check is to be completed by all applicants for any position involving the supervision or custody of minors. This is being used to help North Point Church provide a safe and secure environment for those children and youth who participate in our programs and use our facilities.
Date of Birth MM/DD/YY
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Other cities and states you have resided in the last seven years
Acknowledgement and Authorization
I acknowledge receipt of the Disclosure regarding Background Check and A Summary of Your Rights Under the Fair Credit Reporting Act and certify that I have read and understand both of those documents. I hereby authorize the obtaining of "consumer reports" and/or "investigative consumer reports" by North Point at any time after receipt of this authorization and throughout my volunteer responsibilities, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school, or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Pinnacle Investigations, 1101 N Argonne, Suite a201, Spokane Valley, WA 99212, 800-955-5306, www.pinnacleprof.com, another outside organization acting on behalf of North Point, and/or North Point itself. I agree that a facsimile("fax"), electronic or photographic copy of this Authorization shall be as valid as the original.
I agree to be committed to the vision of North Point Church. I have carefully read the foregoing Disclosure and Authorization and know the contents thereof. I agree below because of the above statements and am excited to be a part of making a difference at North Point Church!
Disclosure Regarding Background Check
North Point Church may obtain information about you for volunteer purposes from a third party consumer reporting agency. Thus, you may be the subject of an "investigative consumer report" which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle reports ("driving records"), verification of your education or employment history, or other background checks. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying. You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you, and disclosure of the nature and scope of any investigative consumer report and to request a copy of your report. This report will be conducted by Pinnacle Investigations, 1101 N Argonne Suite A201, Spokane Valley, WA 99212, Phone- 800-955-5306; Fax: 866-934-9070, www.pinnacleprof.com, or another outside organization. The scope of this notice and authorization is all-encompassing, however, allowing North Point to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and throughout the course of your volunteer responsibilities to the extent permitted by law. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.
Do Not Fill This Out