Safety Team Volunteer Application

Knox Safety Team Volunteer Application
Please list: Church name, pastor's name, and # of years attended
Questions
References

Please provide two references (other than relatives) and their contact information

Email or street address
Email or street address

I understand that any release/disclosure of information carries with it the potential for an unauthorized redisclosure and the information may not be protected by Federal Confidentiality Laws. I understand that I have waived my right to inspect any information provided by my references and have released all individuals and organizations from any and all liability for damages in regard to their release of information about me.

Applicant Agreement

I certify that the information I have provided in this application is correct to the best of my knowledge. I understand that this application will be kept strictly confidential.

If there are any changes in the above information, the volunteer should inform the Safety Team Director.

All applicants must complete an Knox Authorization for Criminal History Check. If you have not completed this form in the past three years, please download and complete the form, and place in a sealed envelope in the Safety Team mailbox in the lower level workroom.

After submitting this application you will be automatically re-directed to the Criminal History Check form.

Thank you for your interest in the Knox Safety Team!