Please fill out the form below:

Experience: *
Select One
Name *
Name
Phone *
Phone
Mailing Address *
Mailing Address
Spouse's Name
Spouse's Name
(if applicable)
(if applicable)
What best describes you: *
If College Student: School/Major/year If professional: Employer/Title If Retiree: Former Profession If Other please describe
(150 words or less)
If you prefer, you may discuss your answers in confidence with a Pastor or the Children's Ministry Team Leader. If this is your desire, please make a note of this below. Answering yes, or discussing the questions with a Pastor or Team Leader will not automatically disqualify an applicant for children or youth work.
Reference and Background Check Release *
Common Ground Covenant Church has permission to contact the references I have listed. I authorize Common Ground Covenant Church to investigate my background as it pertains to appointment or volunteering considerations. This may include information contained in public records which could include criminal files a the county, state, and federal levels.
Common Ground Covenant Church (CGCC) Release & Waiver of Liability *
By submitting this application, I understand that this is a volunteer, unpaid position. I, the volunteer, release, and forever discharge, and hold harmless CGCC and its representatives and successors from any and all liability, claims, and demands of any kind or nature, either in law or in equity, which arises or may hereafter arise from my volunteer work for CGCC. I hereby release and forever discharge CGCC from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my time with CGCC. I grant and convey unto CGCC right title and interest in any and all photographic images and video or audio recordings made by CGCC during my participation at CGCC, including, but not limited to, proceeds or other benefits derived from any photographs or recordings made while participating in any CGCC event. I understand that any images and recordings taken by CGCC may be posted online. I agree that this release is intended to be as broad and inclusive as permitted by the laws of the State of Mississippi in the United States of America, and that this release shall be governed by and interpreted in accordance with the laws of the State of Mississippi.
To certify this application please type your full name below, along with today's date