Cornerstone Rockwall Security Team Application
PERSONAL INFORMATION
Full Name *
Age *
Gender *
Physical Address *
City *
State *
Zip Code *
Phone Number *
E-Mail *
Occupation *
Employer *
Married *
EXPERIENCE
Law Enforcement Experience *
Military Experience *
Concealed Carry License *
If yes, Issuing State & Expiration
I have the following skills or training that may be helpful:
Applicable certifications
AVAILABILITY
I am available to serve *
Required
If Available Sunday, which service(s)?
Other Times Available
BACKGROUND
Please attach a copy of photo identification / Attach copy of Concealed Carry License (if applicable)
Have you ever been convicted of a crime *
If yes, details and dates
Although certain convictions may not prevent you from serving, all applicants must be willing to disclose prior criminal charges and consent to a background check in order to be considered to serve. We reserve the right to deny applicants from serving.
BACKGROUND CHECK INFORMATION
Applicant Legal Name: (First, Middle, Last) *
Date of Birth *
MM
/
DD
/
YYYY
Driver's License Number *
Issuing State *
Aliases/Maiden Name
BACKGROUND CHECK AUTHORIZATION & CONSENT
I the undersigned, authorize and give consent for Cornerstone Community Church of Rockwall, Inc. to obtain information regarding myself. This includes, but is not limited to, the following:

-Local & National Criminal records/information
-All 50 States Sex Offender Registries
-Full Address Trace
-Social Security Verification
-Motor Vehicle Records (if applicable)

I the undersigned, authorize this information to be obtained either in writing or via telephone in connection with my application. Any person, firm, or organization providing information or records in accordance with this authorization is released from any and all claims of liability for compliance. Such information will be held in confidence in accordance with the organization's guidelines.

By signing this document, I am providing the above named organization my consent for an initial background check as well as any subsequent background checks deemed necessary throughout the length of my volunteer assignment with this organization.

If you agree with that stated above, please type your full name and click submit to finish your application. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Cornerstone Rockwall. - Terms of Service - Additional Terms