Please rank the type of missional service opportunity in which you would be interested in order of preference from 1 (most interested) to 3 (least interested). The options are:

• Community service (landscaping, car wash, painting, general labor, etc.)
• Construction projects (wheelchair ramps, porch repair, roof repair, etc.)
• Evangelistic outreach (block parties, free yard sale, servant evangelism, etc.)

I understand that participants of LoveLoud projects agree not to use tobacco products, alcoholic beverages, or illegal drugs; and not to have possession of or use any fireworks, firearms, knives (with the exception of utility knives), or weapons of any other kind during the duration of the project.  I also understand that LoveLoud participants will wear proper attire at all times, including shirts with sleeves and pants/shorts of appropriate length.

If I accept the above position for a LoveLoud service project, I will not expect any organization with which I may work or be associated to be responsible or liable to me for any loss or damage to my property, any personal injury or illness, or any other injuries or damage I may suffer. In consideration of my admission to volunteer service, and for other good and valuable consideration, on behalf of myself, my heirs, executors, administrators, and assignors, I hereby release the Pike Association of Southern Baptists and its related entities, and any employee of the forgoing organizations from any and all such claims or demands.

In the interest of maintaining the safety and security of our churches, employees, and property, Pike Association of Southern Baptists (the “Company”) will order a “consumer report” (a background report) or “investigative consumer report" on all LoveLoud participants at least 18 years or older at least once every three years. The background check company, Protect My Ministry (the "Background Check Company"), will prepare the background report for the Company. 

The Background Check Company can be reached by phone at (800) 319-5581 or at their Internet Website Address protectmyministry.com. The background report may contain information concerning your character, general reputation, personal characteristics, mode of living, and credit standing. The types of information that may be ordered include but are not limited to: Social Security number verification; criminal, public, educational and, as appropriate, driving records checks; verification of prior employment; reference, licensing and certification checks; credit reports; drug testing results; and, if applicable, worker’s compensation injuries. 

Credit history will only be requested when permitted by law and where such information is substantially related to the duties and responsibilities of the position for which you are applying. The information may be obtained from private and public record sources, including personal interviews with your associates, friends, and neighbors. (An “investigative consumer report” is a background report that includes information from such personal interviews, except in California where that term means any background report that is not a credit report.) 

After carefully reading this Background Check Disclosure and Authorization form, I authorize the Company to order my background report, including investigative consumer reports. I understand that the Company may rely on this authorization to order additional background reports, including investigative consumer reports, during my employment without asking me for my authorization again as allowed by law. 

I also authorize the following agencies and entities to disclose to the Background Check Company and its agents all information about or concerning me, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; if applicable, worker’s compensation injuries; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. The information that can be disclosed to the Background Check Company and its agents includes, but is not limited to, information concerning my employment history, earnings history, education, credit history, motor vehicle history, criminal history, military service, professional credentials and licenses and substance abuse testing. 

I agree the Company may rely on this authorization to order background reports, including investigative consumer reports, from companies other than the Background Check Company without asking me for my authorization again as allowed by law. I also agree that a copy of this form is valid like the signed original. I certify that all the personal information I provided is true and correct. 

NOTE: If a background check is needed, you will be contacted by the Company to collect further information required to run the background check.