Returning VOLUNTEER AND EMPLOYEE APPLICATION

(In compliance with Safe Sanctuary Policy)

In order to provide a safe environment that allows for spiritual growth, the Bethlehem Baptist Union requires that every employee and any individual who desires to volunteer with any union-sponsored ministry or activities involving persons under the age of 18 to complete this application. If you have a completed application on file, please update the fields listed below if change(s) have occurred. Otherwise, identify yourself, write “no changes” and sign the document.

Full Name

Nickname

Date

Current Address

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code

Daytime Phone

Cell Phone

Email

Current Employer

Educational Field of Study

Current Occupation

Hours per week

List changes to work experience since July, 2021

Place of Work 1

Spouse’s Name (if applicable)

List children and ages (if applicable)

Previous Addresses: Please list addresses for the past 10 years (attach sheet for additional addresses

Address 1

City 1

St 1

Zip 1

Have you ever been charged, convicted of, or pled guilty to any crime, either a misdemeanor or a felony?

No

Yes

If yes, please explain fully

Have you ever been exposed to an incident of child abuse or neglect?

Yes

No

If yes (have been exposed to an incident of child abuse or neglect), please explain fully

Are you willing to submit to a law enforcement background check?

Yes

No

Applicant Signature

Applicant Signature Date:

If the applicant is a minor, the minor’s parent of guardian must also sign and certify the provided information.

If the applicant is a minor, the minor’s parent of guardian must also sign and certify the provided information. I have read the information and agree that the information provided is true and accurate. I know of no reason why the applicant should not be allowed to work with minors.

Parent or Guardian of Minor Signature

Parent or Guardian of Minor Signature Date

Signature of Applicant

Applicant Signature Date