Audio Service Request For Testing

Name *

First

Last

Birthday *

Sex *

Address *

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City

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Zip Code

Phone *

Email *

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references or churched listed in this application to give you any information they may have regarding my character and fitness for children's/youth work. I release all such references from liability for any damage that may result from furnishing such evaluation to you, and I waive any right that I may have to inspect references provided on my behalf.

I consent to the statement above *

Applicants Signature *

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Today's Date *

Thank you for taking time to fill out this application! Please be aware that the submission of an application does not guarantee acceptance to the Children's Ministry. We will contact you shortly.

Applicant's Waiver

Please read carefully, initial each paragraph statement

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for service in the Children's Ministry and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant , have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure a position in ministry shall be grounds for rejection of this application or for immediate discharge if I am accepted regardless of the time elapsed before discovery. *

I hereby authorize the church to thoroughly investigate my references, and other matters related to my suitability for ministry and, further, authorize the references I have listed to disclose to the church any and all letters, reports and other information related to me, without giving me prior notice of such disclosure. In addition, I hereby release the church and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure. *

I understand that nothing contained in the application, or conveyed during any interview, which may be granted, or during my service, if accepted, is intended to create a contract between the church and me. In addition, I understand and agree that if I am accepted, my service is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the church, and that no promises or representations contrary to the foregoing are binding on the church unless made in writing and signed by me and the church's designated representative. *

Applicants Signature *

Audio Service Request

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