Safety Team Application
Thompson Station Church
Where are you interested in serving?
*
Safety Team
Medical Team
Both
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Preferred Phone Number
*
Please enter a valid phone number.
Preferred Phone Number
Home
Cell
Work
Additional Phone Number
Please enter a valid phone number.
Additional Phone Number
Home
Cell
Work
Do you have a TN Enhanced Carry Permit that included classroom training? (Not online version)
*
Yes
No
Type option 4
Handgun Permit #
*
Type IP for "in progress" if you are in the process of attaining your permit. Type NA for Medical Team Application.
Handgun Permit Expiration Date
*
Type IP for "in progress" if you are in the process of attaining your permit. Type NA for Medical Team Application.
Law Enforcement Department (if applicable)
Please upload your carry permit here.
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Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you currently serving in a TSC Ministry area?
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Yes
No
If yes, please tell us the ministry and the time.
*
Current worship time
*
9:30 am
11:00 am
Current Life Group day and time.
*
Please list any related professional certifications or designations you hold:
Briefly state the reason serving in this area of ministry interests you:
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Have you ever:
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Yes
No
Been arrested, for any reason?*
Been convicted of, or pleaded guilty or no contest to any crime?*
Lost or been denied the privilege of carrying a concealed weapon?*
Had ongoing physical, mental, or emotional issues that might affect
your ability to sere on the safety & security team?*
Been denied from serving on this or any other security team in the past?*
*If the answer to any of the questions above is "yes", please explain in detail:
Verification and Release: Safety Team Volunteers and Employees
I recognize that Thompson Station Church is relying on the accuracy of the information I provide on the Safety Team Application form. Accordingly, I attest and affirm that the information I have provided is absolutely true and correct.I voluntarily release the Thompson Station Church and its representatives from liability involving the communication of information relating to my background or qualifications. I further authorize Thompson Statin Church to conduct a criminal background investigation, if such a checkis deemed necessary. I agree to abide by all policies and procedures of ThompsonStation Church and the Safety Team.
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
References
Cannot be a member of your household.
Reference #1 Name
*
First Name
Last Name
Reference #1 Email
*
example@example.com
Reference #1 Phone Number
*
Please enter a valid phone number.
How long have you known reference #1?
*
Reference #2 Name
*
First Name
Last Name
Reference #2 Email
*
example@example.com
Reference #2 Phone Number
*
Please enter a valid phone number.
How long have you known reference #2?
*
Reference #3 Name
*
First Name
Last Name
Reference #3 Email
*
example@example.com
Reference #3 Phone Number
*
Please enter a valid phone number.
How long have you known reference #3?
*
By listing a person as your reference, you confirm that you have acquired their permission for us to contact them in the manner in which you have provided above. Please initial below.
*
Submit
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