Background Check Screening and Release

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Field Is Required Date of Birth
A Social Security Number is required to process the background check. If you prefer, you may call Melissa Streit at 612-317-3417 with this information rather than providing it digitally.
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Volunteer Positions Requiring Additional Checks
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Previous Background Check
Verification, Authorization, and Release
I verify that I have answered the above questions completely and truthfully, to the best of my knowledge. I understand that any misrepresentation or omission is grounds for rejection of my application or dismissal from the volunteer position for The Basilica of Saint Mary, hereinafter referred to as “The Organization.”

I understand and acknowledge that applications for certain volunteer positions require a personal and professional background check, and I agree to execute any and all forms required to authorize and conduct such checks.

I also understand that service is contingent upon an acceptable background check and criminal history investigation and report. I understand I will be notified if my service is terminated or denied based on the results of a background check investigation or report.

I authorize The Organization and/or The Archdiocese of Saint Paul and Minneapolis, by and through its Contracted Agents, to perform an investigation into my background and criminal history prior to and periodically during my volunteer service. If selected to serve, this authorization is valid for the duration of my service.

I hereby release the Organization, the Archdiocese of Saint Paul and Minneapolis, and its Contracted Agents from any and all liability arising from the preparation of a background report or the investigation relating thereto to the full extent permitted by law. I have read and understood this authorization and release and I am signing below voluntarily of my own free will.

Field Is Required Date of Signature
Thank you for your participation. Please contact Melissa Streit with any questions or concerns.
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