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As a volunteer at Church of the Resurrection, do you agree to observe all church policies? _____Yes No
Have you ever been convicted of a criminal offense? ___________________________________Yes No
Do you have any criminal charges pending? __________________________________________Yes No
Have you ever been convicted of child neglect or abuse? _______________________________Yes No
Do you have any charges of child neglect or abuse pending? ____________________________ Yes No
List two references, other than family members, who are familiar with your character:
(Name/Address/Telephone Number/Relationship) (i.e. neighbor, teacher, baby-sit for)
1. _________________________________________________________________________________
2. _________________________________________________________________________________
Participant/Parent Covenant
Revised 7/2010
Have you volunteered within Children’s Ministries before? Yes No
If no, how do you want your name to read on your KiDS COR lanyard/name tag?
Where are you serving? (Please circle area and time if listed)
Please return this form to your program director or a KiDS COR Ministry Connector:
Stacy Furey 232-4194 or stacy.furey@cor.org Fax: 544-0799
Revised 7/2010