Background Check Authorization - River City Believers Academy

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In order to enhance student security at River City Believers Academy, I authorize the administration of RCBA to obtain any criminal history record information. I understand that this may include a search of local, state, and/or federal law enforcement agency records and hereby expressly release any and all information these agencies may provide.
If there is a need for clarification of my identity, I agree to provide additional information including, but not limited to, photographs and fingerprints.
Last Name *
First, Middle Name *
Present Address *
Address 1
Address 2

City

State

Zip
Date of Birth *
Phone Number *
Gender * (1 required)
Male Female
Driver's License Number *
Driver's License Issued State *
By typing my name below, I authorize River City Believers Academy to conduct a background check. I understand that this background check may include, but is not limited to, a review of criminal history and sex offender registry status.
Electronic Signature *
Enter Your Email Address: *