PERSONAL INFORMATION
The following information is used within the process of a personal and criminal background check, and is mandatory for all individuals wishing to serve within the Children's Ministry.
Name *
Name
Phone *
Phone
Date of Birth *
Date of Birth
Sex *
Race / Ethnicity *
References
The following information is used within the process of a personal and criminal background check, and is mandatory for all individuals wishing to serve within the Children's Ministry.
Reference One Name *
Reference One Name
Phone *
Phone
Reference Two Name *
Reference Two Name
Phone *
Phone
Background
The following information is used within the process of a personal and criminal background check, and is mandatory for all individuals wishing to serve within the Children's Ministry.
Mothers Name *
Mothers Name
Last Name
Fathers Name *
Fathers Name
Former Address *
Former Address
The last 6 digits of your social security number.
Have you ever been asked to leave a church? *
Have you ever been denied legal custody of a child? *
Do you have any health issues that would put the children at Reality Boston at risk? *
Have you ever been accused, arrested, or convicted of any crime? *
Do you authorize Reality Boston to make an independent investigation of your background, references, character, employment, criminal or police records including all public records? *
Date Form Completed *
Date Form Completed
I agree that all of the above is true to the best of my knowledge. *