Children's Ministry Door Holder Application

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  • Please list your dates of service, where, position and what you did in that role.
  • Please list 3 references with Name, Address, Phone, and Relationship
  • Personal and Spiritual History

  • Children's Ministry Covenant

  • After observing the ministry, spending time in prayer, and discussing with my family the commitment involved in serving with Children’s Ministry, I choose to commit to the following:
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  • Legal and Lifestyle Concerns

    In caring for children, we believe it is our responsibility to seek staff that are able to provide healthy, safe and nurturing relationships. Please answer the following questions accordingly. Any special concerns or “yes” responses can be discussed individually with the Children’s Pastor or with the pastoral staff. Marking “yes” under certain circumstances does not automatically exclude you from the position you are seeking, but may require further clarification.
  • The information contained in this application is correct to the best of my knowledge. I, the undersigned, give my authorization to Broadway Christian Church and its representatives to release any and all records or information relating to working with minors. Broadway Christian may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability to work with children.
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  • Authorization/Consent

    During the application process and at any time during the tenure of my employment/service with Broadway Christian Church, I hereby authorize ChoicePoint Services Inc., on behalf of Broadway Christian Church to procure a consumer report (known as an investigative consumer report in California) which I understand may include information regarding my character, general reputation, or personal characteristics. This report may be compiled with information from courts record repositories, departments of motor vehicles, past or present employers and educational institutions, governmental occupational licensing or registration entities, business or personal references, and any other source required to verify information that I have voluntarily supplied. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification; to the extent such investigation includes information bearing on my character, general reputation, or personal characteristics.
  • BACKGROUND VERIFICATION DISCLOSURE This is used to inform you that a consumer report is being obtained from a consumer reporting agency for the purpose of evaluating you for employment, volunteer service or a contracted position, including retention as an employee, volunteer or independent contractor. This report may contain information bearing on your character, general reputation, and personal characteristics from public or private record sources. I release Broadway Christian Church and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name and all information is true and correct to the best of my knowledge:
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