Name *
Name
Address *
Address
Cell Phone *
Cell Phone
Date of Birth *
Date of Birth
Are you currently serving or leading in another area of Victory Church? *
References
Please list the names of two people we can contact as references. These should be people who have done ministry with you but are not related to you.
Reference #1 Phone Number *
Reference #1 Phone Number
Background Information
Have you ever been convicted of a felony or a misdemeanor involving any act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged? *
Are you currently out on bail, have a warrant out for your arrest or released on your own recognizance pending trial? *
Have you at any time been involved in or accused of, rightly or wrongly, of sexual abuse, maltreatment or neglect? *
Have you ever been a victim of any form of child abuse? *
Have you ever gone through treatment for alcohol or drug abuse? *
Have you ever been asked to step away from ministry or working with minors in any setting, paid or volunteer? *
Is there anything in your life, past or present, which would cause a problem if we found out about it later? *
Do you accept this agreement? *
CERTIFICATION AND AUTHORIZATION I, the undersigned, authorize Victory Church (hereinafter "VC") to verify the information on this form. VC may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability as a church ministry volunteer. VC may also obtain a background check on me, and may initiate and acquire new background checks from time to time as deemed necessary by VC in its sole discretion. The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give VC any information (including opinions) that they may have regarding my character and suitability for ministry. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application. Should my application be accepted, I agree to be bound by the constitution, statement of faith and policies of VC and to refrain from conduct unbecoming to Christ in the performance of my services on behalf of VC. If I violate these guidelines, I understand that my volunteer status may be terminated. By signing this application, I state that all of the information given about myself is true. I further state that I have carefully read the foregoing release and know the contents thereof, and I sign this release willingly. This is a legally binding agreement which I have read and understood.