Work Entry

St. Luke's United Methodist Church
Safe Sanctuary Initial Application

Review Safe Sanctuary Policy

Personal Information

 Expiration DateTraining Type 
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Church History and Prior Volunteer Experience



Applicant’s Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches provided to give you any information, including opinions that they may have, regarding my character and fitness for working with children, youth or vulnerable adults. In consideration of the receipt and evaluation of this application by St. Luke’s United Methodist Church, I hereby release any individual, church, youth organization, charity, employer, reference or any other person or organization, including record custodians, both collectively and individually, their heirs and assigns, from any and all liability for damages of whatever kind of nature which may at any time result to me, my heirs, or family, on account of compliance of any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.

Should my application be accepted, I agree to read and be bound by the Safe Sanctuary Policy for St. Luke’s United Methodist Church and to refrain from conduct in violation of the attached policies in the performance of my services on behalf of the church.

I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.

Your ministry leader may ask to see your driver’s license or government issued ID prior to volunteering.

St. Luke’s UMC will conduct a criminal records check on all applicants at least annually.


Authorization and Request for Criminal Records Check

I hereby authorize St. Luke’s United Methodist Church, or its designee, to request the relevant police/sheriff’s department to release information regarding any record charges or convictions contained in its files, or in any criminal file maintained on me, whether said file is local, state or national file, and including but not limited to accusations and convictions for crimes committed against minors, to the fullest extent permitted by state and federal law. I hereby release said police/sheriff’s department from all liability that may result from any such disclosure made in response to this request. I acknowledge and authorize St. Luke’s to conduct a criminal records check no less than every 12 months so long as I remain an active volunteer or until written notice is provided by me to St. Luke's United Methodist Church revoking this authorization.

*The SSN information is used for a crimmial records check only and is not stored in our system.


References

At least two personal references are required.


References should be able to attest to your ability to work with children/youth/vulnerable adults and your general character. Please do not list immediate relatives as references.