Volunteer Background Check
Please fill out this form and Pastor Marc will get in touch with you shortly.
Your Name
*
First Name
Middle Name
Last Name
Suffix
Maiden Name/Previous Last Names
Birth Date
*
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Month
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Day
Year
mm-dd-yyyy
Phone Number
*
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Area Code
Phone Number
Your E-mail Address
*
Service Options
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Please Select
1st Service (9:30am)
2nd Service (11:15am)
Either Service
Ages you would like to serve
*
Nursery (6m-24m)
Toddlers (2yrs)
Preschool (3-5 yrs)
Big Kids (K-4th Grades)
Uprising 5:6 (5th & 6th Grades)
Your Message
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