Ministry Area
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WeeWorld (6 Weeks - PreK)
Kid Kraze (K - 3rd)
Forty5 (4th - 5th)
Students (6th - 12th)
Campus
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Newport News
Yorktown
Name
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First Name
Last Name
Alias / Former / Maiden Name
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Date of Birth
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Month
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Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
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Home Phone Number
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Area Code
Phone Number
Mobile Phone Number
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-
Area Code
Phone Number
Marital Status
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Single
Married
Divorced
Separated
Widow/Widower
Gender
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Male
Female
Occupation
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Place of employment
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How long have you attended Waters Edge Church?
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Name of Former Church
If you have accepted Jesus Christ as your personal Savior, briefly describe when and how it took place.
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Before coming to Waters Edge, what was your previous church experience, if any?
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Please list your areas of volunteer experience.
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Please list any current areas you are volunteering in at Waters Edge Church.
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Have you ever been accused of any inappropriate behavior with a minor?
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Yes
No
Have you ever been convicted of or plead guilty to a crime?
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Yes
No
Have you ever been a victim of abuse or molestation?
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Yes
No
Are there any issues in your personal life currently or in the past that we need to be aware of as we consider your involvement with kids, or students?
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Yes
No
REFERENCES - For applicants under age 18, please list two adults (not relatives) who know you well whom the church may contact. (Please included at least one person from Waters Edge Church.)
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Name, Address, Phone & Email for each
I give Waters Edge Church the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability Waters Edge Church and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
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No
Yes, I Agree
Submit
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