Background Authorization Form

Please fill out all fields completely and don't forget to scroll to the bottom, check off the digital signature and click "Submit". All information is sent to and seen by Pastor Brian Cashman only and is kept condifential. You will be notified of clearance by the Valley Metro Staff. Thank you for your servant's heart. God bless!

E-mail address

Have you ever been questioned or investigated by a governmental agency regarding the welfare, abuse or endangerment of a child?

Yes

If yes, please explain.

My information listed above is accurate to the best of my knowledge.

Yes

By checking this box, you authorize Valley Metro Church to run a background check for the purposes of serving in Children's and Youth Ministry. This authorization serves as a digital signature.

Digital Signature

Thank you for your willingness to serve God's children. You will be notified within the next few weeks. God bless!