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Personal Information
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Name *
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Address *
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Date of Birth *
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Home Phone *
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Cell Phone *
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Experience
What other volunteer work experience do you have?
(Previous ministry experience is not required to volunteer at Foothills Community Church.)
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Start Date
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End Date
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Contact Name
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Contact Phone
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Start Date
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End Date
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Contact Name
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Contact Phone
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Safety Risk
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Have you been arrested or taken into police custody for any reason? *
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Have you been convicted of, or pleaded no contest to, any crime? *
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Have you participated in, been accused of, convicted of, or pleaded guilty or no contest to any sexual abuse or sexual related crime? *
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Do you have any personal traits or tendencies that could pose a threat to children, youth, or others? *
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Is there any reason why you should not work with children, youth, or others? *
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Physical Capabilities
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Are you capable of lifting items up to 50 pounds? *
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Are you capable of bending and moving in ways that support a fast-paced, active environment? *
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Have you had any surgeries or medical procedures that have impacted your mobility? *
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Personal Information
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Applicant Verification and Release
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Printed Name *
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