Add questions or comments here.
Please provide 3 references outside of family you have known for at least 2 years. Provide name, phone number and relationship to you. (Add pastoral/spiritual leader if applicable)
Acknowledgement, Release and Signature:
I certify that the above statements and answers are true and correct. I acknowledge that this ministry reserves the right to discontinue the screening process at any point. The reasons may or may not be disclosed to me. By signing the document I hereby authorize this ministry and/or its agents to make an independent investigation of my background, references, character, criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my application and/or obtaining other information which may be material to my qualifications as a volunteer now and, if applicable, during the tenure of my involvement with this ministry. I release this ministry and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or lawsuits in regards to the information obtained from any and all of the above references sources used.
If considered for a volunteer position with PEARL Life Renewal Society, you will be notified for an interview. As a volunteer you will be required to complete volunteer orientation and training and adhere to the policies of PEARL Life Renewal Society during your time as a volunteer with us.
Type in your name as your signature.
