One-Way Evangelistic Ministries: Permission to Obtain a Background Check

This form authorizes One-Way Evangelistic Ministries of Cheyenne, WY to obtain background information. This form must be completed by applicants for full-time or short-term ministry.

All information will be held in the strictest confidence.

Full Legal Name - First & Middle, Last

I, the undersigned verify that I am an applicant to minister with OWEM as a

Short-term missionary Local Volunteer Full-time staff/missoinary

Other Names Used:

Date of Birth

Social Security Number

This address will receive a confirmation email

Phone

Current Address

Dates lived at current address:

Previous Address

Gender:

Driver's License Number

State of Issuance of Driver's License

Recognizing the importance of my character being above reproach, I authorize OWEM to procure background information about me, prior to, and at any time during my work with OWEM. This report may include my driving history, including any traffic citations; a social security number verification; present and former addresses; criminal and civil history/records; sex offender records; and records maintained by both public and private organizations. The following is my true and complete legal name, and all information is true and correct to the best of my knowledge.

Typed full legal name to serve as legal signature

Date of signature

Description

Thank you for your interest in serving with One-Way.
This form is required in addition to your application.
If you have questions, please contact Kathy at (307)575-3093

One-Way Evangelistic Ministries: Permission to Obtain a Background Check

Description

Please Fix the Following