Kids + Students Ministries Application
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Personal Information

 
Name *

 
Address *

 
Contact Number

 
I would like to work with: *


 
I prefer to serve: *


 
Christian Life

 
Describe how you became a Christian:

 
Have you been baptized? *


 
Describe how you arrived at River of Life:

 
How long have you been attending?

 
List any previous experience you’ve had working in the ministry you would like to serve.  (Other churches, training, education)

 
Please list two personal references that are not related to you. *

 
Personal Life

 
Have you ever been charged with, indicted for, or pled guilty to an offense involving a minor? *

     
 
If yes, please describe all convictions for the past five years:

 
Maiden Name or Any Aliases used in the past:

 
Additional Information

 
Social Security Number:

 
Date of Birth

 
Driver’s License Number:

 
In connection with this request, I hereby authorize all corporations and law enforcement agencies to release information they may have about me to Secure Search, the agent acting on behalf of River of Life. *

Background checks are performed on every person that works with children or students or is interested in working with students. This information will be used to obtain the background check and will be kept confidential.
     
 
Date Submitted

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