Volunteer Background Check

Thank you so much for expressing interest in serving at Storyside. To maintain our commitment to excellence, we set high standards in the area of safety and security. The information submitted in the form will remain confidential and will be disclosed only to those individuals needing to access to it or as required by law.

General Information
Name*
First Last
Spouse's Name
First Last
Children's Name
First Last
Child's Age
Children's Name
First Last
Child's Age
Children's Name
First Last
Child's Age
Children's Name
First Last
Child's Age
Home Phone
Cell Phone
Work Phone
Email*
Enter Email Confirm Email
Driver's License Number
Date of Birth*
Social Security Number*
Previous Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employer
Place of employment
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Local Friend or Relative
First Last
Background Information
Do you attend Storyside Church regularly?*
- Yes
- No
If Yes, which gathering?
- Thursday 7pm Bellville
- Sunday 9:00am Bellville
- Sunday 11:00am Bellville
- Sunday 11:00am Bucyrus
- Sunday 1:00pm Latino
- Sunday 2:30pm Mt. Vernon
How long have you been attending Storyside Church?
Are you presently serving on any teams at Storyside?*
- Yes
- No
If yes, which ones?
Do you have a previous affiliation with any other churches?*
- Yes
- No
If yes, what church and length of time attended?
Do you have any previous experience in your ministry preference choice(s)?
- Yes
- No
Which are you interested in?
- Volunteering at Storyside
- Missions Trip
Personal Information
The following information is very personal. Please know that it will remain confidential and will be considered in light of the life-changing and healing power of Jesus Christ.
Have you ever been convicted or pleaded guilty to a crime?*
- Yes
- No
If yes, please explain.
Have you ever been convicted, accused of, or have you ever committed any act of physical abuse, sexual abuse, neglect, molestation, or exploitation of a minor?*
- Yes
- No
If Yes, please explain.
Is there currently any physical/sexual abuse, neglect, drug, or alcohol use in your life or home?*
- Yes
- No
Are there any circumstances or patterns in your life that would make it inappropriate for you to minister to children or serve on the Safety Team which could compromise the integrity of Storyside Church?*
- Yes
- No
If Yes, please explain.
Do you need help addressing any personal issues?*
- Yes
- No
If Yes, please explain.
References
Please list three people not related to you whom you have known for at least one year.
Reference #1
First Last
Length of time known
Relationship to you
Occupation
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Work Phone
Reference #2
First Last
Length of time known
Relationship to you
Occupation
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Work Phone
Reference #3
First Last
Length of time known
Occupation
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Work Phone
Authenticity and Authorization
The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give Storyside information and/or opinions they have regarding my character and my ability to work with my ministry preference team. I authorize the release of information contained in this application. I realize that there will be a criminal background check on me using my personal information.
Signature
First Last
Date

General Information

Background Information

Personal Information

References

Authenticity and Authorization