Harvest Kids Volunteer Application

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All information provided below must be complete to process your application. The person who is applying to serve must be the one to fill out the application.

Legal Name *
Legal Name
Date of Birth *
Date of Birth
Phone *
Phone
Home Address *
Home Address
Membership is NOT required to serve in Harvest Kids.
Where are you interested in serving within Harvest Kids? *
Please check all that apply.
What spiritual disciplines do you practice? (Reading the Bible, praying, Christian community, etc.)
AUTHORIZATION SIGNATURE FOR 18 AND OLDER
AUTHORIZATION SIGNATURE FOR 18 AND OLDER
I authorize Harvest Bible Chapel Des Moines and its selected agents to use the above information for the purpose of performing a criminal background check and history and to communicate with and obtain information and opinions about me from the references listed on this application. I authorize any individuals, references and/or churches listed in this application to provide and release any information and opinions regarding my background, character, and fitness for working with children or youth. I attest and affirm that the information included in this application is both honest and complete in any area information is requested. I hereby release Harvest Bible Chapel Des Moines, its pastors, staff, officers, board, members, and any other person or organization involved in seeking and obtaining information about me for this purpose, from any liability regarding said communications of information and opinions about my background, character and/or qualifications. I understand that communication of such information will be kept confidential and on a need-to-know basis, among Harvest Bible Chapel Des Moines pastors, leaders, youth leaders, and children's ministry leaders. I waive any right that I may have to inspect any information or opinions provided about me by those I have listed in this application.
Date of Signature
Date of Signature
GUARDIAN AUTHORIZATION SIGNATURE FOR UNDER 18
GUARDIAN AUTHORIZATION SIGNATURE FOR UNDER 18
I consent the minor of whom I am guardian is able to serve as a junior volunteer for Harvest Kids. I promise to do my part in helping my junior volunteer to uphold the requirements of their position. I also promise to make myself available to assist them during their time serving as needed. I attest and affirm that the information included in this application is both honest and complete. I hereby release Harvest Bible Chapel Des Moines, its pastors, staff, ministry leaders, and any other person or organization involved in seeking and obtaining information about me for this purpose, from any liability regarding said communications of information and opinions about my background, character and/or qualifications. I understand that communication of such information will be kept confidential and on a need-to-know basis, among Harvest Bible Chapel Des Moines pastors, leaders, youth leaders, and children's ministry leaders. I waive any right that I may have to inspect any information or opinions provided about my by those I have listed in this application.
Date of Signature
Date of Signature
MINOR AUTHORIZATION SIGNATURE FOR UNDER 18
MINOR AUTHORIZATION SIGNATURE FOR UNDER 18
I attest and affirm that the information included in this application is both honest and complete. I hereby release Harvest Bible Chapel Des Moines, its pastors, staff, ministry leaders, and any other person or organization involved in seeking and obtaining information about me for this purpose, from any liability regarding said communications of information and opinions about my background, character and/or qualifications. I understand that communication of such information will be kept confidential and on a need-to-know basis, among Harvest Bible Chapel Des Moines pastors, leaders, youth leaders, and children's ministry leaders. I waive any right that I may have to inspect any information or opinions provided about my by those I have listed in this application.
Date of Signature
Date of Signature