Adult Working With Children Form

Personal Information
Please let us know your name.
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Please let us know your email address.
Personal History
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Spiritual History

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Ministry Information and Experience
Prior to Pickering Pentecostal Church, list the churches you have previously attended.
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My present and previous ministry experience are as follows:
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Confidential Information
In order to provide a safe and secure environment for Pickering Pentecostal Church's children and youth, we believe it is necessary to include the following questions as part of our application process. All information will be kept confidential by church leadership and the Plan to Protect team and will not be disclosed by the church unless required by law. Answering yes to any of the questions may not necessarily prevent you from volunteering with the church. Thank you in advance for your understanding.
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References
Please provide the names of three individuals, excluding relatives, who could provide a reference for you. Include at least one reference from outside Pickering Pentecostal Church.
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Release of Information and Declaration of Intent
I hereby give the church consent to verify the information provided by me in this Ministry Personnel Application Forma nd to contact the references and current and former employers listed above and to obtain and verify any information from them (and any other persons that the Church determines might be able to provide relevant information) that may be relevant to my application.
I grant my permission for the church to perform a police records check on me, and I will sign and return the attached "Release of Information and Declaration of Intenet" for such purpose.
I further grant the church permission to perform an internet search on me and to review and consider any information found by me on the internet.
I understand that if the church approves my volunteer application and later determines, in its discretion, at any time that I am not suitable for volunteer service in the church or for the volunteer position for which I am applying, the church may terminate my volunteer service or volunteer position for any reason without advance notice.
If the church approves my application for a volunteer position, I will sign andy documents that the church requires and will at all times cooperate fully with the staff of the church in the fulfillment of my duties and will keep all confidential information I encounter in my role as a volunteer, confidential.
If at any time I determine that for any reason I am unable to support or adhere to or follow the policies, procedures or doctrine of the church, I will inform the church and will resign my volunteer position.
I hereby acknowledge that, to the best of my knowledge, the information contained in this Ministry Personnel Application Form is true and correct.
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Information received is confidential and is being gathered for the purposes of considering your application for volunteer ministry with the Church and for determining what, if any Church ministries, you may be suited for in the future.
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