Background Check Form 2025-26

indicates a required answer

Please only complete this form if you were not background checked by LVCHA last year AND will be volunteering in any capacity, hosting events in your home, or regularly attending LVCHA events.

I, hereby consent, authorize and grant permission to Las Vegas Christian Homeschool Allinace (LVCHA), its employees, and/or its agents, to perform a thorough criminal background check on me. I also consent to the release of any information discovered in said background check to the requesting organization. I further understand that my placement in said organization may be canceled and/or affected due to information disclosed by this background check.

I hereby release LVCHA from all liability arising from the performance of, or the release of information from, this background check. I freely agree that I am personally responsible for all risks and damages arising in any manner from the performance of, or the release of information from, this background check.

Please fully complete this form with your BEST email address. Once we have collected everyone's information, we will be submitting it to the background check company. They will then send you an email with a link to complete the background check.

1. *

First Name

2. *

FULL Middle Name

If you have no middle name, please put NONE in the box

3. *

Last Name

4. *

Email Address

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