PLEASE NOTE: Only complete this form if you have not had a background check with InterVarsity in over 12 months. InterVarsity requires a background check every 12 months, unless requested otherwise. For questions, please contact Micah Sexton micah.sexton@intervarsity.org or (608) 443-3730. Thank you!

First Name

Middle Name

Last Name

Address Required

City

State

Postal Code

Country

Date of Birth

Social Security Number

I'm an international student

Your Relationship to InterVarsity Required

Ministry

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InterVarsity Production

Thank you for completing the background check application

KEEP YOUR MINISTRY SAFE AND SECURE WITH

Shepherd’s Watch Background Checks™

In today’s challenging environment, it’s critical to take steps to protect those in your church’s care. Properly screening your staff and volunteers is an important step in that process!