Epic Community Church - Wild Kids Serving Application

WILD KIDS SERVING APPLICATION

First Name

Last Name

Maiden Name/Other Names Used

Date

Address 1

Address 2

Country

City

State

Zip/Postal Code

Phone Number

Email

Date of Birth

Gender

Marital Status

Spouse's Name (if applicable)

Number of Children

Are you a student?
Yes
No

If so, what school?

How long have you attended Epic Church?
Less than 3 months
3-6 months
6-12 months
More than a year

Are you a partner of Epic Church?
No
Yes
Would like more info

How often would you like to serve?
Once a month
Twice a month
As often as needed

If you are under 18, please list name of parent(s).

List two people, that you have known for at least one year, that have knowledge of your character and ability to work with children.

Reference #1 Name

Reference #1 Address

Address 2

Country

City

State

Zip/Postal Code

Reference #1 Phone Number

Reference #2 First Name

Last Name

Reference #2 Address 1

Address 2

Country

City

State

Zip/Postal Code

Reference #2 Phone Number

Next steps I'm interested in...
Getting baptized
Joining a discipleship group
Becoming a partner of Epic Church
A ministry idea I have

I give epic-a community church the right to further investigate my background and to secure additional information about me, if job related. I hereby release from liability, epic-a community church, its employees and its representatives for seeing such information and all other persons, corporations or organizations for furnishing information. I understand that epic-a community church will run a background check on all applicants who work with children; this form will be kept strictly confidential.
I agree