* Applicant's Signature
I acknowledge that I've and understand L2's child safety policies, and that I will abide by them at all times.
Date you are willing to begin serving
* Date you are willing to begin serving
Have you ever been accused of a sexually inappropriate behavior with a minor? If your answer is yes, please explain
Have you ever been investigated for sexually inappropriate behavior with a minor? If yes, describe the accusation and the outcome of the investigation. Provide information so that we can contact the investigator to verify the results.
Church history/ prior children's work
How long have you attended L2?
Please list all other churches you have attended regularly (names/dates) and children's ministries (if any) you were involved with
Please list any gifts, training, education or other factors that you feel have prepared you for working with children:
Personal References (not relatives)
In order to complete the application process most efficiently and enable you to begin serving as soon as possible, please supply e-mail addresses whenever possible.
Applicant's Statement & Signature
The information contained in this application is correct to the best of my knowledge. I authorize any references/churches/organizations listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for working with children or youth. In consideration of the receipt and evaluation of this application by L2 Church, I hereby release any individual, church, organization, employer, reference or any other person including record custodians both collectively and individually from any and all liability for damages of whatever kind which may result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right I may have to inspect any information provided about me by any person organization identified by me in this application. Should my application be accepted, I agree to be bound by the bylaws and policies of L2 Church and to refrain from unscriptural conduct in the performance of my services on behalf of the church. I further state that I HAVE CAREFULLY READ THE FORGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT.
This is a legally binding agreement, which I have read and understood.
National Background Check
Maiden name or other names used:
* Current Address
How long have you lived at current address?
* Former Address
How long did you live at your former address?
Your date of birth
* Your date of birth