Child Safety Application

Step 1 of 4

Applicant Information

This application should be completed by all applicants for any position (volunteer or employment) involving the supervision of children or students. The purpose of this form is to assist in the creation of a safe environment for children or students who participate in the programs of Graham Church or use Graham Church facilities. Some of this information is quite personal, and we are committed to protecting your confidentiality.

Name

First

Last

Phone

Okay to text this phone number

Date of Birth

Address

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived at your current address?

Marital Status

Previous Address

List all other cities and states where you have lived as an adult

Please list all previous volunteer work or employment involving children or students (List each organization's name and address, type of work, dates, and a contact person familiar with your work there.)

Applicant Information

Testimony of Personal Faith in Jesus Christ

Writing your story of personal faith in Jesus Christ helps us to get to know you and your relationship to God. Utilize this outline below to help tell your story.