Southern Wesleyan University
3+1 Ministry Residency Background Check
Southern Wesleyan University is a place of God's grace. A "yes" answer is not an automatic disqualification, but does require an explanation followed by a conversation.
Have you ever been arrested, convicted, or pleaded guilty to a crime?
If you answered "yes," please explain in detail, including dates.
Have you ever been accused, charged, committed (or alleged to have committed) any act of sexual assault or of neglecting, abusing, or molesting any child?
Have you ever been asked to leave a ministry or volunteer position?
Do you have any history of using alcohol, illegal drugs or abusing prescription drugs?
Is there anything from your history that may come up in the future about you that could perceivably hurt the ministry of Southern Wesleyan University/your residency church?
Do you consent to an official background check?
Social Security Number
Date of Birth
List all previous states of residence and addresses for the last five years.
Other names used previously (including maiden names)
By checking this box, you are giving your digital signature that you agree to an official background check as specified above.
Type your full name
Email Address (for form confirmation)