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.

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.