Follow the steps to complete the form accurately and effectively.

1. Press the ‘Get Form’ button to access the Background Check Request Form and open it in your document interface.
2. Fill in the church name and number in the designated fields. Ensure you have the correct details as these will be used for processing your request.
3. Provide the church contact person's name and phone number to establish a point of contact for any follow-up related to your background check.
4. Complete the personal information section by entering your first, middle, and last name, along with any maiden or other names used. This information aids in the accurate identification of your background.
5. Input your Social Security number, current address, and contact numbers. Please ensure these details are current to avoid any processing issues.
6. Specify your date of birth in the required format (MM/DD/YYYY) and place of birth, which is used solely for identity verification.
7. If requesting a Motor Vehicle Record (MVR) check, fill in the name as it appears on your driver's license, along with your driver's license number, state, and expiration date.
8. List all addresses where you have resided over the past five years in the provided fields, ensuring accuracy for thorough background verification.
9. Answer the personal disclosure questions regarding any criminal offenses or allegations that could impact your role in working with children or youth. Provide clear explanations for any 'yes' responses.
10. Review your authorization statement carefully, understanding that it permits the Northern Illinois Conference to gather relevant background information.
11. Sign and date the document to affirm that all provided information is accurate and true. This signature is a crucial part of the form.
12. Select the desired background check package and any additional checks you wish to request. Ensure the total amounts are calculated correctly.
13. Once all information is filled out, review the entire form for accuracy, make necessary edits, and then save your changes. You may choose to download, print, or share the completed form as required.

Complete the Background Check Request Form online to facilitate your involvement in the Northern Illinois Conference activities.