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In order to provide a safe and secure environment for our children and youth, we believe it is necessary to include the following questions as part of our application process. All information will be kept confidential by the Kids Ministry Staff. (Police may access this information, under warrant, if requested.) Answering yes to any of the questions may not necessarily preclude your involvement in ministry. Thank you in advance for your understanding.

I hereby give Redemption Bible Chapel London permission to contact the persons named as references to ascertain my suitability for volunteer ministry. I release all such references from liability for any damage that may result from furnishing such evaluations to you. I give Redemption Bible Chapel London consent to verify the information provided herein and to contact the references listed. I waive any right to confidentiality and of any right to pursue damages against the Church for losses caused by the reference’s response. I also grant my permission for Redemption Bible Chapel London to perform a police records check, for purposes of my protection against any false allegations and for the protection of those I serve. I consent to such an investigation with the understanding that the results will be kept in strict confidence. I agree to adhere to the protection policies as adopted by this Church. I understand that if my character or morals are deemed by church leadership to be inappropriate and/or criminal at any time during my volunteer service, Redemption Bible Chapel London will be entitled to terminate my assistance without express cause or prior notice regardless of any other oral or written statement by Redemption Bible Chapel London prior to, at, or following the date of volunteer service. I understand that Redemption Bible Chapel London is responsible for the welfare of any person or persons entrusted to my care. I will cooperate fully with the staff in the fulfillment of my duties and will keep all information I encounter, in my role as a volunteer, confidential. If at any time I find that for any reason I am unable to support the policies, procedures or doctrine of Redemption Bible Chapel London, I will gracefully and quietly resign my volunteer position. If my supervisors find that I am in conflict with any of the policies, procedures or doctrines and we are not able to resolve the issue, I will gracefully and quietly agree to resign my volunteer position. I hereby acknowledge that, to the best of my knowledge, the information contained in this application for volunteer ministry is true and correct. I accept and agree to adhere to the Statement of Faith of Redemption Bible Chapel London.

Information received is confidential and is being gathered for the purposes of screening Ministry Personnel and placing them into ministry with children or youth. The information gathered here will be used for the purposes of supporting the ministries at Redemption Bible Chapel London. Statement of Faith and Beliefs Refer to Redemption Bible Chapel’s Website, www.redemptionlondon.ca for the doctrinal statement. Please submit your completed application to the registration desk or Kids Ministry Staff. Questions can be directed to jkuypers@rbclondon.ca or 519-668-1977

The mission of the Market is to love others as God has first loved us by blessing individuals and families both inside and outside our church with complimentary groceries and household goods. Thank you for carefully and prayerfully completing this application to serve on our Market team.

Please list three references (do not include family members).

If you prefer you may refuse to answer the following question or you may discuss your answer in confidence with a pastor rather than answering it on this form. Answering ‘Yes’ or leaving the question unanswered will not necessarily disqualify the applicant for children and youth ministries.