Organization Name *

First Name *

Last Name *

Organization Street Address *

Organization Address Line 2

City *

State *

Zip Code *

Organization Phone Number *

Email Address *

Type of Organization *

Purpose for Background Checks *

EIN/Tax ID Number * 🛈

Protect My Ministry is required to credential all new clients. Please upload one of the following for documentation: 501c3, Secretary of State filing, Certificate of Insurance, W9 * 🛈

Billing Contact: *

Billing Contact Email: *

Your monthly invoice will include an automatic charge for sales tax. If your business is Tax Exempt, kindly upload a PDF file of your most recent Certification here.

User Setup

Username (6-20 characters) *

Password: (Enter a password between 8 and 25 characters containing at least one uppercase character, one lowercase character, one number AND one of the following special characters (!,@,#,$,&,_,<,>) *

Select if ordering credit history reports

Yes, I will be ordering credit reports

There are additional credit bureau guidelines that must be followed. The Compliance Department will provide information upon request.

Select your options below. For pricing, please refer to your partner pricing or services proposal.

Select Your Option Below: *

Starter: $199/yr. (Includes $150 background check credit - First year only)

Core: $399/yr. (Includes $399 background check credit - First year only)

Advanced: $599/yr. (Includes $599 background check credit - First year only)