Background Check Authorization Form

I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by Wye Bible Church at any time after receipt of this authorization and throughout my volunteering, 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 IntelliCorp, 5000 Corporate Ct., Ste 203; Holtsville, NY 11742; Tel. No. 1.888.946.8355; www.intellicorp.net.
I also consent to have any legally required notices sent electronically.
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.*
- By checking this box and typing my name below, I am electronically signing this Authorization form.
Name*
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Date*
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