Select Your Age Group *
ADULTS: After completing this form, you will receive an email from our third-party, background-check partner, in order to complete a secure background check.
Select… Adult: Currently 18 Years or Older Student: Currently 17 Years or Younger
Gender *
Select… Male Female
Phone number *
Phone type Mobile Home Work Other
Preferred Service Time(s) *
Who encouraged you to apply? *
(If it was a leader, please list by name)
Excluding traffic related offenses, have you ever been accused or convicted of criminal activity, or entered a plea of guilty or no contest to a criminal offense of any kind? *
Select… NO YES
Have you ever been accused or convicted of sexual misconduct, or entered a plea of guilty or no contest to abuse or sexual misconduct? *
Select… NO YES
Are you aware of any traits or tendencies that you possess that could pose a threat to children or youth? *
Select… NO YES
I recognize that New Vintage Church is relying on the accuracy of the information I provide on this application. I attest and affirm that the information I have provided is absolutely true and correct. *
Please Initial
I authorize New Vintage Church to contact any person or entity listed on application, and I further authorize any such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications. *
Please Initial
I acknowledge and accept the risk of physical injury that could occur from my participation as a volunteer. *
Except for gross negligence on the part of New Vintage Church, I accept personal financial responsibility for any bodily or personal injury sustained while I am volunteering. Further, I release and agree to indemnify and hold harmless New Vintage Church, and its officers, directors, and representatives from any liability, injury, damage, loss, accidents, delay, or irregularity related to being a volunteer for New Vintage Church.
I grant to New Vintage Church the right to make photo, video, and audio recordings of me. *
("Recordings") as well as the perpetual, world-wide right to record, re-record, copy, edit, reproduce, publicly display, perform, and distribute the Recordings in any way consistent with New Vintage Church ministry, including use on the Internet. I waive the right to inspect or approve the finished product wherein the Recordings appear.
Please note the following release does not apply to any personal, professional, or other project/work that is unrelated to New Vintage Church. *
Any work that I have created in my role/capacity as a volunteer for New Vintage Church in the past, present, or future, recorded in any form ("Creative Work") is for the exclusive ownership of New Vintage Church and is considered a "work made for hire" (defined in the US Copyright Act). If, for any reason, the work related to my volunteer service for New Vintage Church is determined at any time not to be a "work made for hire," I agree to assign, and do assign, to New Vintage Church all right, title, and interest to the Creative Work.
Additionally, I agree to all statements above and certify that I have properly initialed each statement and/or accept that any text placed in the fields provided will be considered acceptance of the statements.
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