Volunteer Application (Children's Ministry)

MINISTRY PROFILE (Continued)

How would you like to serve in the Discovery Zone?

References

1. Name of Reference

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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2. Name of Reference

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

3. Name of Reference

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

APPLICANT’S STATEMENT

I hereby acknowledge that the information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give The Northern Collective Church any information they may have regarding my character and fitness for children’s ministry, and I release all such references from liability for any damage that may result from furnishing such evaluations. I also grant my permission for The Northern Collective Church to perform a personal Criminal Record Check for the purpose of my protection against any false allegations and for the protection of those I serve. I consent to such an investigation with the understanding that the results will be kept in extreme confidentiality. I further agree to adhere to the Child Protection policy as adopted by The Northern Collective Church. I have read the Northern Collective Church – Abuse Protection Plan document.

Name

Typing your first and last name will be considered an authorized signature

First Name

Last Name

Today's Date

YYYY

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