In connection with my services performed here at Victory World Church, (including contract for services work), I understand that initial and annual investigative background inquiries are to be made on myself including criminal convictions, motor vehicle, and other reports.
Futher, I understand that you will be requesting this informations from various Federal, State, and other agencies, which maintain records concerning my past acivities relating to these reports.

I authorize without reservations, any party or agency contracted by Victory World Church, to furnish the above-mentioned information.

I herby consent to your obtaining the above information from CIC and/or any of their licensed agents. I understand to aid in the proper identification of my file or records, the following information is necessary: