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Secondary Volunteer Form (Nursery) 

Community Church of Columbus cares deeply for our children.  It is our mission to lead them into a growing relationship with Jesus Christ.  Physical and sexual abuse endangers that mission.  We are committed to following wise policies to safeguard our children, youth, and workers.  We ask your cooperation in making this a safe place to learn and worship.

CONFIDENTIAL
Secondary Screening Form
 
Last Name
First Name
Middle Name
Street Address
City
State
Zip
 
List names and addresses of churches attended regularly over the past five years:
 
List all previous church work involving nursery children or youth over the past five years:
 
References
 
Name
Street
City
State
Zip
Home Phone
Work Phone
 
Name
Street
City
State
Zip
Home Phone
Work Phone
 
Do not enter anything in this field:

Applicant Statement - Secondary
Please print and sign the Applicant's Statement and it mail to:

Children's Ministries
Community Church of Columbus
3850 North Marr Road
Columbus, IN 47203
 
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To Know Christ and to Make Him Known

Community Church of Columbus
3850 North Marr Road | Columbus, IN 47203 | PH: 812-376-9478
 
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