Volunteer Profile Form

*** CONFIDENTIAL ***
 
Children are the most vulnerable and valuable members of society, dependent on others for care and protection. This profile is being used to help Rockford Reformed Church provide a safe and secure environment for the children who participate in our programs and to protect the volunteers who work with children. This profile is to be completed by adult volunteers and paid staff involved in children and youth ministries at RRC.
 
Background Check Request

Personal Information

Address
City
State/Province
Zip/Postal
Note: if you have not attended a church previously, we may ask you to provide two personal, unrelated references at a later date.

Background Checks & Self Disclosure

Rockford Reformed Church routinely runs criminal background checks on all applicants. By signing this form, you are authorizing RRC: to request and/or obtain information about your criminal history from any entity chosen specifically for conducting this search; and to release information regarding any record of charges or convictions contained in its files, or in any criminal file maintained on you, whether said file is a local, state, or national file, including but not limited to accusations and convictions for crimes committed against minors, to the fullest extent permitted by city, county, state, and federal law. You hereby release said entities from all liability that may result from any such disclosure made in response to this request. Note: A report concerning an arrest or conviction related to assault, battery, abuse, or sexual misconduct may disqualify you from ministry with children or youth. Please be aware that if, by applying for this position, you will be in violation of any probation stipulation, the presiding jurisdiction will be notified. Any other reported misdemeanor or felony will be discussed with you and may be grounds for denial of application to work with children or youth.

Applicant’s Statement

I certify that this Volunteer Profile Form was completed by me and that all of the information is true and correct to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts called for herein will result in my disqualification from further consideration as a volunteer or employee. I authorize any references or churches listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for children and youth ministry. I understand that this application will be kept strictly confidential. Should my application be accepted, I agree to be bound by the by-laws and policies of Rockford Reformed Church and to refrain from unscriptural conduct in the performance of my services on behalf of the church. In order to be a teacher, director, or coordinator, I understand that I need to be a member of Rockford Reformed Church or have consistory approval and will comply with these requirements.