I authorize The Well Ministries Inc. dba TreeHouse Scott County to retrieve information on my background as it pertains to education, employment history, job performance, and personal and professional references. I release all persons, companies or corporations furnishing such information from liability and responsibility. I understand that an extensive background ( criminal, sexual offender, etc) and motor vehicle record (MVR) investigation may be required as a condition of employment/volunteering. Needed for background check: Social Security number and birth date will be obtained.