Background Check Applicant Form Home About Academics & Sports Student Handbook Tech Handbook Pre-K to 12 Supply List Tuition and Admissions Tuition and Admissions Tuition Assistance and Scholarship Staff & Faculty Contact Us Give Your Full Name(Required) Your Email(Required) Your Phone(Required)Maiden Name (if Applicable) Gender(Required)-- Select One --MaleFemaleSSN(Required) Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Driver License #(Required) DL Expiration Date(Required) MM slash DD slash YYYY DL State(Required) Image of your Drivers License(Required) Drop files here or Select files Accepted file types: jpg, jpeg, png, Max. file size: 50 MB, Max. files: 1. Consent(Required)I authorize Victory Life Academy to request a national and/or state background check with the information I have provided below. I do hereby attest that all the information given in this application is true and accurate to the best of my knowledge. I understand that if my application is accepted this background check authorization will be kept on file and may be used at any time during my service to procure further information when in the judgment of Victory Life Academy such may be necessary. Do you agree to the above? I agreePlease enter your first and last name as your digital signature:(Required) NameThis field is for validation purposes and should be left unchanged. Δ Important Links About LCS Academics and Sports Student Handbook Tuition and Admissions Pre-K to 12 Supply List EnrollStaffAlumni EventsFaculty ApplicationContact Us © Legacy Christian School. All rights reserved. FollowFollow
