RETURNING VOLUNTEER AND EMPLOYEE APPLICATION, Rev 0 (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 EducationHSBSMSPhDOther Educational Field of Study Current Occupation Hours per weekList 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? NoYes If yes, please explain fully Have you ever been exposed to an incident of child abuse or neglect?YesNo 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? YesNo SignatureClear Signature DateIf 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 SignatureClear Parent or Guardian of Minor Signature Date Signature of ApplicantClear Applicant Signature DateSubmitReset