Volunteer Registration & Background Check
Please fill out both sides of this form and submit to the CCS office prior to volunteering. This form is to be filled out each school year.
Full Name
*
First Name
Middle Initial
Last Name
Maiden Name (if applicable)
Other Names used
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sex
*
Male
Female
Race
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home/Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Have you ever been accused or convicted of a felony?
*
Yes
No
If so, please explain
Drivers License Number
*
Drivers License Expiration
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Issuing State
*
In case of emergency please contact:
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I am willing to transport CCS students:
*
Yes
No
Name of Auto Insurance Company
*
Agent's phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any medical restrictions on your driver’s license?
*
Yes
No
If yes, please explain:
*
CCS Statement of Faith
We believe that the Bible is the infallible, verbally - inspired Word of God and that it is, therefore, our final authority in matters of faith and practice.
We believe in the eternally existing, triune God: Father, Son and Holy Spirit.
We believe in the Deity of Jesus Christ, in His virgin birth, in His sinless life, in His miracles, in His vicarious and atoning death through His shed blood, in His bodily resurrection and His ascension to the right hand of the Father, where He now acts as Mediator and Advocate.
We believe in the personal and imminent return of our Lord Jesus Christ for His own, in His later return in power and glory with His own to reign in righteousness over the earth, and in the resurrection of both the saved and the lost - - they that are saved unto the resurrection of life and they that are lost unto the resurrection of damnation.
We believe that Heaven is the place of eternal blessedness for the saved and that hell is the place of eternal conscious punishment for the lost. (John 5:28-29)
We believe that regeneration by the Holy Spirit is absolutely essential for the salvation of lost and sinful men, and that all who receive the Lord Jesus Christ by faith are born again and become the children of God.
We believe in the present ministry of the Holy Spirit whose indwelling in all believers enables them to live godly lives.
Agreement
If transporting, I agree to abide by all laws of the state and policies of CCS while serving in this volunteer capacity. I will treat all children in my vehicle with respect and confirm that all seat belts are fastened before departure to and from the destination.
I have provided the above information freely, and authorize CALVARY CHRISTIAN SCHOOLS to utilize the above information for the sole purpose of obtaining a criminal history report as allowed by Public Act 99 of 1992.
In accordance with the Federal FERPA law, I understand that I may not discuss information about students with anyone (including parents) other than my supervisor.
I have read the CCS Statement of Faith which is affirmed by parents and staff. As a volunteer I will show respect to these and other positions held by CCS during interactions with CCS students.
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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