OOLTEWAH BAPTIST APPLICATION TO SERVE CHILDREN AND STUDENTS
Ooltewah Baptist Church is a religious organization that does not discriminate against applicants for employment based on race, age, sex, national origin, disability, veteran status, or marital status. OBC reserves the right to discriminate based on religion to the full extent permitted by law. This application will be current for thirty (30) days only.
Last
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First
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Middle
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Marital Status
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Please Select
Single
Married
Widowed
Divorced
Spouses Name
Current Address
City
Zip Code
Telephone
Email
example@example.com
BACKGROUND INFORMATION
Reference #1 Name
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Reference #1 Phone
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Reference #2 Name
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Reference #2 Phone
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Are you over 18 years of age?
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YES
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Name of contact for notification in case of an emergency.
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Phone number of emergency contact.
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Have you previously volunteered for OBC?
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YES
NO
If you answered yes above, please give us the dates you volunteered with OBC.
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Year
Date
LEGAL HISTORY
For any question answered "yes" in the LEGAL HISTORY, you are provided a space for detailed explanation at the end of this section.
Have you ever been the subject of a civil lawsuit involving sexual misconduct, sexual harassment, sexual abuse, or other immoral behavior or conduct involving adults or children? Have you ever been the subject of an investigation or allegation of sexual misconduct, sexual abuse, or sexual harassment involving adults or children?
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YES
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Have you ever been convicted of a criminal offense (felony or misdemeanor?) Answer “yes” if you have entered a plea agreement, including a deferred sentence or deferred judgment arrangement in connection with a criminal case.
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YES
NO
Have you ever been charged with a sexual offense, offense relating to children, or crime of violence?
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YES
NO
Have you ever been reported to any organization or registry for abuse or misconduct involving children?
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YES
NO
Do you have any disciplinary action or investigation pending by an employer, other organization, professional association, or licensing body for violence, sexual misconduct, or misconduct involving children?
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YES
NO
Have you ever been disciplined or dismissed from any volunteer or employment position for any reason or following an allegation of sexual misconduct, physical aggression, verbal aggression, or other inappropriate behavior or conduct?
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YES
NO
Have you ever been reprimanded or asked to leave or end your membership in a church?
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YES
NO
Do you now or have you ever sought out or intentionally viewed child pornography?
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YES
NO
Have you at any time been arrested for any reason?
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YES
NO
Have you at any time been convicted of, or pleaded no contest to any crime?
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YES
NO
Have you at any time engaged in or been accused of any child molestation, exploitation, or abuse?
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YES
NO
Are you aware of having any traits or tendencies that could pose any threat to children, youth, or others?
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YES
NO
Are you aware of any reason you should not work with children, youth, or others?
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YES
NO
If the answer to any question in the LEGAL HISTORY section was "YES," please give a detailed explanation.
ACKNOWLEDGEMENTS
I declare that all statements contained in this application are true. I understand that any misrepresentation or omission is cause for dismissal from any ministry involvement.
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YES
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I understand that an appropriate criminal background check will be conducted as one of the final steps in the application process. I authorize investigations of all statements contained in this application. I understand that at the appropriate time, I will be asked to authorize Ooltewah Baptist Church to undertake a criminal background check of my past.
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YES
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I understand that I can withdraw from the application process at any time.
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YES
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I understand that Ooltewah Baptist Church has a policy of ZERO TOLERANCE FOR ABUSE and takes all allegations of abuse seriously. I further understand that Ooltewah Baptist Church cooperates fully with the authorities to investigate all cases of alleged abuse. Abuse of any kind is grounds for immediate dismissal from my volunteer position and possible criminal charges.
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YES
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I declare that I am not a pedophile or child molester. I have not perpetrated physical abuse, sexual abuse, emotional abuse, or neglect against a child, student, or disabled adult.
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YES
NO
I understand and agree that false statements regarding past conduct and/or present situations may be grounds for denial of this application to provide volunteer services.
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YES
NO
I understand that the presence of a sealed criminal record, if unavailable to Ooltewah Baptist Church, will result in the automatic denial of the application.
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YES
NO
I understand that, as in all areas of the church, the leadership of Ooltewah Baptist Church reserves and exercises the right to refuse service opportunities to any person even if that person has successfully completed this application process.
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YES
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I agree to teach in accordance with Article 4: Statement of Faith of the Ooltewah Baptist Church Constitution.
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YES
NO
THE CHILD PROTECTION POLICY
ACKNOWLEDGMENT OF AGREEMENT
I have received and read a copy of the Ooltewah Baptist Church Child Protection Policy and understand the importance of the matters set forth within. I agree to follow and abide by these policies during my service at OBC.
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YES
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Further, I understand that the policies and guidelines may be modified at any time and that OBC may amend, revise, or eliminate them at any time. I further acknowledge and understand that the materials and guidelines in this policy do not express or imply a contractual employment relationship between OBC and me. If I apply as a volunteer, I acknowledge and agree that I will receive no compensation for hours worked.
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YES
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Finally, I understand that it is my responsibility to review new guidelines created and distributed, as well as policy guidelines that are changed or deleted.
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YES
NO
I hereby acknowledge that I have received, read, and am in agreement with THE CHILD PROTECTION POLICY and that all statements contained in my application are true without any misrepresentation or omission.
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