* St. Luke Lutheran Church is requesting your Social Security number (SSN) as a means to uniquely identify your records for our background check process. In order to support a complete and more thorough background check the SSN is required. Your SSN will only be used within the background check system via a secure link as a means to uniquely identify your records during the processing of your application. St. Luke Lutheran Church neither retains hard copy nor stores electronic SSN information for its records.

By my signature below, I declare that I am an applicant for volunteer service with St. Luke Lutheran Church and have been advised that, as part of the application process, St. Luke Lutheran Church conducts a criminal history background check. I do hereby consent to St. Luke Lutheran Church's use of any information provided during the application process in performing the criminal history check. I have been informed that I have the right to review and challenge any negative information that would adversely affect a decision to offer volunteer service opportunities. In addition, I have been informed that I will have a reasonable opportunity to clear up any mistaken information reported within a reasonable time frame at the discretion of St. Luke Lutheran Church.