FERVENT SECURITY APPLICATION

FERVENT SECUTIRY APPLICATION

Form will be reviewed by a Security Lead or Pastor Larry.
PERSONAL DATA
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DATE OF BIRTH*

MonthDayYear
Date
Phone Number*
Work Number*
Type N/A if not applicable
Email Address*
example@example.com
Social Security # (REQUIRED FOR BACKGROUND CHECK)*
Drivers License # (REQUIRED FOR BACKGROUND CHECK)*
UPLOAD IMAGE OF DRIVER'S LICENSE BELOW.

OR make a copy of your driver's license & turn in to Security Team Lead.
Where are you employed?*
What type of work do you do there?*
Are you willing to be fingerprinted? YES/NO Do you have any communicable diseases? YES / NO If yes, please explain:
Are you willing to be fingerprinted?*

YESNO
Do you have any communicable diseases?*

YESNO
If yes to previous question, please explain:*
Type N/A if not applicable.
Do you have any physical limitations?*
Are you able to hold carry and speak on a 2Way Radio?*
Do you have any hearing problems that would affect your usage of 2Way Radio?*
Have you ever been arrested?*
Have you ever been convicted of or pleaded guilty to a felony or any other crime? YES NO If yes, please explain: Type N/A if not applicable*
We will be doing a background check on you. Is there anything that will show up on your report that we should be aware of?*
Type "No" if not.

SECURITY MINISTRY DATA
I would prefer to serve as:*

SECURITY - UNARMEDSECURITY - ARMEDVIDEO MONITOR (Security Eyes)
I am interested in serving during:*

9:00am SUNDAY11:00am SUNDAY6:00pm SUNDAY EVENING7:00pm WEDNESDAY EVENINGSPECIAL EVENTS (Christmas, Easter, Harvest Festival, Vacation Bible School, Bible Studies, etc.)
Are you willing to attend/sit in one weekly service AND serve during a separate service?*
Please tell us about any previous experience as Law Enforcement/Security:*

SPIRITUAL DATA:
Brief Christian Testimony:
2-3 Sentences MAX is fine.
Is Fervent your home church? YES NO Where did you attend before? Type N/A if not applicable*
How long have you attended Fervent regularly?*
What service are you presently and regularly attending at Fervent?*
REFERENCES

Please give three references whom we may contact:
Reference #1 Full Name:*

First NameLast Name
How many years have you known Ref. #1?*
Ref. #1 Phone Number:*
Please enter a valid phone number.
Ref. #1 Address:*

Address

Street Address Line 2

CityState / Province

Zip
Reference #2 Full Name:*

First NameLast Name
How many years have you known Ref. #2?*
Ref. #2 Phone Number:*
Please enter a valid phone number.
Ref. #2 Address:*

Address

Street Address Line 2

CityState / Province

Zip
3rd Reference: In addition, if possible, list a pastor, elder or other minister at Fervent who could give you a reference:*
The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give you any information that they may have regarding my character and fitness for security ministry. In consideration of the receipt and evaluation of this application by Fervent, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature that may at any time result to me, my heirs, or family, because of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.

I hereby authorize Fervent to obtain a background check which I understand may include information regarding my character, general reputation, or personal characteristics. This report may be compiled with information from courts record repositories. I understand that I may request a complete and accurate disclosure of the nature and scope of the background verification.
Signature*

Clear
Date*

MonthDayYear
Date
Please turn in a photocopy of Driver's license and Social Security card with this application.
Should be Empty:

FERVENT SECUTIRY APPLICATION

PERSONAL DATA

UPLOAD IMAGE OF DRIVER'S LICENSE BELOW.

SECURITY MINISTRY DATA

SPIRITUAL DATA:

REFERENCES