Signature and Acknowledgement
The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for children or youth work. I authorize the release of the information contained in this application, on a confidential, need to know basis, to any Ministry at Pathway Community Church in which I seek a position. In consideration of the receipt and evaluation of this
application by Pathway Community Church, I hereby release any individual, church, youth organization, charity, reference or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature, which may at any time result to me, my heirs or family, on account of compliance or any attempts to comply, with this authorization. To uphold the confidentiality of the references, I waive any right that I may have to inspect any information provided about me by any person or organization, but I may contact Pathway Community Church to inquire about information provided about me.
Should my application be accepted, I agree to refrain from unscriptural conduct in the performance of my services on behalf of the Church. I agree to be bound by the
by-laws, statement of faith and policies of Pathway Community Church. If I violate these guidelines, I understand that I have disqualified myself from any volunteer
opportunities. By signing this application, I state that all of the information given about myself is true.
Also, I hereby request and authorize the release of any information which pertains to any record of convictions contained in law enforcement files or in any criminal file
maintained on me whether local, state or national. I hereby release local, state and national law enforcement agencies from any and all liability resulting from such
I further state that I have carefully read the foregoing release and know the contents thereof and sign this release as my own free act. This is a legally binding agreement, which I have read and understand.
By signing below I give my consent to allow KidCity to use my likeness in printed and on-line materials.