I recognize that Salem Heights Church Biblical Counseling is relying on the accuracy of the information I provide on this Biblical Counselor Application form. Accordingly, I attest and affirm that the information I have provided is absolutely true and correct. I authorize Salem Heights Church Biblical Counseling to contact any person or entity listed on the Biblical Counselor Application form, and I further authorize any such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications.
I voluntarily release Salem Heights Church Biblical Counseling and any such person or entity listed on the Biblical Counselor Application form from liability involving the communication of information relating to my background or qualifications. I further authorize the organization to conduct a criminal background investigation.
Should I be selected to be a biblical counselor, I agree to abide by the policies and procedures of the organization and to protect the health and safety of the counselees assigned to my care at all times.