We take our responsibility to protect the children who participate in our programs and use our facilities very seriously. As a requirement of working in this position, we reserve the right to consult the National Crime Index Service, Central Criminal Records Index, and National Child Abuse databases, as well as local law enforcement officials and child protective services. Do you have any reason to believe that such a background check on you would disclose any negative information?

I give Legacy Church authorization to verify all statements and information contained in this application. I voluntarily consent to allow Legacy Church and any of their representatives to speak with my references. I understand the reference questions may pertain to my personal or educational background, work experience, character and behavior. I understand my employment is subject to satisfactory verification of this information.

I hereby affirm and acknowledge, by signing immediately below, that all of the information provided and all of my answers to the foregoing questions are true and complete, and that any misrepresentation or omission may be grounds for rejection or, if later engaged as a volunteer or employed, dismissal. I declare that the foregoing is true and correct.