TCS Volunteer Screening Form

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This form is to be completed by all those wishing to Volunteer at Temple Christian School.

Email *

Full Name: *

Street Address: *

City *

Zip Code *

State *

Position Desired/Obtained: *

Have you ever been charged with child abuse? *

Explain Above:

Have you ever been arrested? *

Have you ever been Convicted of a crime? *

Please provide any additional details if needed of any arrest or conviction.

Please check any of the below that apply: *

I have been convicted for use/sale of drugs

I have been treated for substance abuse

I have been accused/arrested for a criminal offense, excluding minor traffic violations

I have been accused/arrested for a sexually related crime

I have been accused/arrested for an abuse related crime

There are circumstances in my life/lifestyle or background that some would call into question my ability to work with children/students.

NONE of these apply

Required

If any additional explanations are needed please use this space below: *

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