Background Investigation Authority

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Background Investigation Authority
for the South Carolina Baptist Convention

Thanks for chaperoning/participating in the camping programs of the South Carolina Baptist Convention. To ensure the safety the other attendees, please take a moment to complete the following screening form and the results will be sent directly to the camp administrators for review. Thank you for your cooperation and have a great camp.
Personal Information
*Required Fields
*First Name: MI:  *Last Name:
*Social Security Number: *Date of Birth:
**Date of Birth is only used for identification purposes in screening inquiries
Other Names or SSN Used:
*Email Address:
*Current Street Address:
*City:       *State:          *Zip:   
*Phone:
Driver's License Number: Driver's License State:
*Which Event Are You Planning to Attend?
*Church Name: *Church City:
*Have you lived at any other address in the past 7 years?
*
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