Criminal Background Check

This information will be used to run an official background check for criminal history for anyone that serves with minors in a significant capacity at Hulen Street Church.

Name *
Name
Which ministry is this for? *
Select all that apply.
Address *
Address
Phone *
Phone
Please state other names by which you have been known (may include maiden names or names that were changed for other reasons.
Date of Birth *
Date of Birth
Please use your current driver's license or ID
Legal Disclaimer (Please Read) *
I hereby authorize the local police department and other local, state or federal agencies to release any record that may be on file in my name(s) in the records of said agencies. Any such records will become part of my personal application for employment or volunteer service at Hulen Street Church of Fort Worth, TX.
Please write your name in understanding of the above disclaimer.