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Section 1 of 6
Greenhouse - VBS Servant Leader Application
Thank you for your interest in VBS. Please complete all information requested on this form. Applications must be completed in full to avoid any delays in processing the application.
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Section 2 of 6
Background Check
Elizabeth Baptist Church is committed to the protection of all persons who are associated with Greenhouse including members, staff, volunteers and guests. As required by the Operating Standards for Member Organizations, EBC shall conduct criminal background checks of all volunteers who have direct repetitive contact with children participating in our programs. EBC will carry out this requirement in a fair, consistent and non-discriminatory manner, complying with applicable state and federal laws and guidelines, including the Fair Credit Reporting Act and the Equal Employment Opportunities Commission.
Verified First!
An invitation from Verified First will be sent to you using the email address you supplied.  Turn around time is usually 1-2 days.  Your onRealm profile will be updated   Background checks are completed every 2-3 years.
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Section 3 of 6
Church
1. Are you a member of Elizabeth?
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2. Have you completed your New Member's Classes?
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3. Do you attend weekly worship?
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Section 4 of 6
Christian Walk
Are you a believer?
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What do you do consistently to keep yourself spiritually fresh and authentic?
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Section 5 of 6
Preferred Age Group
Which age group would you be interested in serving?
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4-5 yr olds
6-7 yr olds
8-9 yr olds
10-11 yr olds
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Availability
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Training May 17 & 22
Mon 6/3
Tue 6/4
Wed 6/5
Thr 6/6
All 4 Days
Other__________________
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Section 6 of 6
Authorization
The information contained in this application is correct to the best of my knowledge.  I hereby authorize Elizabeth Baptist Church and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records.

I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Elizabeth Baptist Church or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources.

I hereby release Elizabeth Baptist Church, the Social Security Administration, and its agents, officiate, representative, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates because of compliance with this authorization and request to release.

Terms and Conditions
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I have agreed to submit this application by electronic means. By signing this application electronically, I certify under penalty of perjury and false swearing that my answers are correct and complete to the best of my knowledge.  I also certify that I understand the questions and statements on this application                                
I understand the penalties for giving false information or breaking the rules.
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Signature:
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* By checking this box and typing my name below, I am electronically signing my application.
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Signature
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Date:
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Background Check
Verified First!
Church
1. Are you a member of Elizabeth?
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2. Have you completed your New Member's Classes?
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3. Do you attend weekly worship?
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Christian Walk
Are you a believer?
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What do you do consistently to keep yourself spiritually fresh and authentic?
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Preferred Age Group
Which age group would you be interested in serving?
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Availability
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Authorization
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