General Servant Application 2022

Name

This address will receive a confirmation email

Phone

Address

Birth Date (mm/dd/yyyy)

Ministry Area Interest

Why would you like to serve in this area(s)?

How often are you available?

Every week Every other week Once a month Other

Christian Commitment and Church Background

Please describe your relationship with God and the history of your Christian commitment:

My journey with Christ:

Unsure Just Beginning Growing Mature Believer

How long have you attended Klamath Christian Center?

Do you consider it your home church?

What church did you attend previously?

For how long?

Is there a person at your former church we may contact?

Yes No

Name:

Phone # or email address:

References

Please provide the following information for two to three people who are over 18 years of age, not related to you and are able to provide a reference supporting your integrity, character, and personal Christian commitment.

Reference #1

Name

Years Known

Address

Phone number

Relationship

Reference #2

Name

Years Known

Address

Phone

Relationship

Reference #3

Name

Years Known

Address

Phone

Relationship

Criminal Record

Have you ever been convicted of a crime other than a minor traffic violation?

Yes No

Do you have any criminal charges pending against you?

Yes No

Have you ever participated in, been accused of or convicted of, or pleaded guilty or no contest to any abuse or sexual misconduct?

Yes No

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed on the application to give any information (including opinions) that they may regarding my character and fitness for work with children, youth, or adults. I release all such references from any liability for furnishing such evaluations to you, providing they do so in good faith and without malice. I waive any right that I may have to inspect references provided on my behalf. I am striving to live a Holy Spirit-led life and agree to set a Christ-like exampel while serving at Klamath Christian Center.

I understand that this is not an application for employment.

I further understand that the Foursquare Church takes abuse very seriously and abuse in any form will not be tolerated. I am aware that my participation in abuse in any form is cause for my removal from volunteer service.

Digital signature of applicant (type your full name)

Today's date

General Servant Application 2022

Description

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