Background Check Form

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 Alliance (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
5. 

If this is a request for an Additional Background Check...

  • This will need to be paid for in our Store before we can start the process. 
  • Next, please note here what family thisnadult is associated with and what event they are hoping to attend. You can note general attendance if they plan to attend events throughout the year.
  • The additional adult will need to bring their confirmed background check with them to attend any event.
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