ALC Serve Application
Abundant Life Church | alcpnw.com
YOUR INFORMATION
Which campus do you usually attend?
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Please Select
Happy Valley Campus
Sandy Campus
Name Legal Name
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First Name
Middle Name
Last Name
Suffix
Please list names previously used (nicknames, maiden, alias, changes to your last name, etc.)
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Preferred Phone
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Please enter a valid phone number.
Gender
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Date of Birth
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-
Month
-
Day
Year
Date
Are you age 18 or older?
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Please Select
Yes
No
Are you age 14 or younger?
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Please Select
Yes
No
Back
Next
Do you give us permission to contact your parent/guardian when we begin processing your application?
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Yes
No
Parent/guardian first and last name?
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Parent/guardian email?
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Parent/guardian phone number?
*
Your Spiritual Journey
How would you describe your relationship with Jesus?
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Please Select
Strong Believer
New Believer
Seeking
Have you been baptized by immersion?
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Please Select
Yes
No
Please tell us a little bit about your baptism experience (approximate age, location, who baptized you, etc.)
CONFIDENTIAL SAFETY SCREENING QUESTIONS
1. Have you ever been the subject of an investigation concerning any sex-related crime?
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No
Yes
2. Have you ever been the subject of an investigation concerning child abuse or neglect?
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No
Yes
3. Have you ever had problems with drugs or alcohol?
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No
Yes
4. Have you ever been convicted of a crime other than a minor traffic violation?
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No
Yes
5. Have you ever been arrested for a crime for which there has not yet been an acquittal or dismissal?
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No
Yes
AUTHORIZATION
I agree with the need to provide a safe place for people of all ages when involved in ministries and activities at Abundant Life Church. I understand my signature below grants permission to Abundant Life, its agents and any person or entity to provide information or hold discussions with regards to investigating or obtaining information which may be material to my qualifications for service now, and if applicable, during the tenure of my employment or service at Abundant Life. I hereby certify that all information I have provided on the pages of this application are true, correct and complete. I understand that any false information or omission may disqualify me from further consideration and could result in my removal if discovered at a later date.
Applicant Signature (Click and hold, then sign your name using your mouse or touchpad.)
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