TrinityFellowship GrowthTrack

Dream Team Leadership Application

Area of Service(pleasecircleone)

CHOOSEA TEAM

Name:

Date:

Address:

City: State: Zip:

HomePhone:

Cell Phone:

Email:

Birth date: / /

Sex: ☐Male ☐Female

Marital Status: ☐Single ☐Married

Are you a student?

GradeLevel:

FamilyInformation

Spouse’sname:

Birth date: / /

Email:

Cell Phone:

DoesyourspouseattendTrinityFellowship: ☐Yes☐No

Children’sInformation

FirstlastnameDate ofbirthLive with you? Attend?Male/female

ReferenceInformation

Work/School Reference:Phone Number:

Non-family Reference:Phone Number:

Non-family Reference:Phone Number:

Pleaseturnoverandcompleteback.

OfficeUseOnly: 101201301C_NS_ID

Church HistoryWhat You Believe

Howlonghave you attendedTrinityFellowship? Are you amemberof TrinityFellowship? ☐Yes/ ☐No (Haveyousignedacovenant membershipagreement?)

Do you supportTrinityFellowshipfinancially?☐Yes/ ☐No

Are you a born-again Christian?☐Yes/☐No Howlong?

Have you been waterbaptized as abeliever?☐Yes/ ☐No

Have you received the baptismoftheHoly Spirit?☐Yes/ ☐No HowLong?

Please check thestatementsthat applyto you.

Ibelieve:

☐IntheTrinity –Godthe Father, Christ HisSon, andthe Holy Spirit.

☐Jesusdiedformysinand rosebodilyfrom thedead.

☐A personmustaccept theLordshipofJesusand be born againto receive eternallife.

☐The Bible istheperfectWordofGod.

☐Jesus iscomingback.

LeadershipQualifications & Commitment

Brieflyexplain whyyouwould liketo serve at TrinityFellowship:

.

Iagreeto:

(1)becomeamember of TrinityFellowship;

(2)completetheGrowthTrackinthenext 4-6weeks;

(3)abide bythebiblical qualificationsofleadership asoutlined in 1Timothy3:8-13; (4)fulfill theresponsibilities ofleadership asoutlined in Dream Team401;

(5)helpfulfill the Mission and Vision of TrinityFellowship;

(6)embraceandteach theChristian principles asstated intheTrinityFellowship

Statementof Faith;and,

(7)serve all of God’schildrenwith anattitude of honor,humility,and love.

Signature:

Date: / /

DisclosureandAuthorization

to ObtainInformation

InconnectionwithmyapplicationforemploymentorvolunteerservicewithTrinityFellowship(Trinity),andpursuanttothefederal FairCredit Reporting Act(FCRA,15U.S.C.§1681),IherebyauthorizeTrinityandtheirrespectiveagentsto reviewmybackground throughconsumerreports and/orinvestigativeconsumerreports.Iunderstandthattheconsumerreport/investigativeconsumer reportmayinclude,butisnotlimited to,information pertaining tocriminal history,motorvehiclehistory,social securitynumber, earningshistory,character,general reputation,employmenthistory(includingreasonsfortermination),creditworthiness,credit capacity,creditstandingoranyotherinformationrequestedbyoronbehalfofTrinityasneededfortheemploymentor volunteer position. IfurtherunderstandandsubmitthatTrinityFellowshipChurchmaysolicitadditionalreportsasneededthroughoutmy activetenureas anemployeeorvolunteer within theguidelines ofthe FCRA,15U.S.C.§1681.

IAUTHORIZE,WITHOUTRESERVATION, ANYPERSON,AGENCY,OR OTHERENTITYCONTACTEDBYTRINITYFELLOWSHIP TO FURNISH THE AFOREMENTIONEDINFORMATION.

IherebyreleaseanddischargeTrinityandanyagenciesorentitiesincludingtheiraffiliates,agents,andemployeesproviding informationabout mefromanyandall liabilityor claimsarisingoutofthe release ofanysuchinformationor reports.

IfurtherunderstandthatpriortoanyadverseactionbaseduponaconsumerreportandpursuanttothefederalFairCredit

ReportingAct,acopyofthereportanda summaryofmy consumer’s rightswillbeprovided tome.

FirstName: Middle Name: LastName:

AKA orMaidenName:

CurrentAddressPrevious Address

HomeAddress1:PreviousAddress1: HomeAddress2:PreviousAddress2: HomeCity: PreviousCity:

HomeState:PreviousState: HomeZip:PreviousZip:

Years atAddress:Years atAddress

Birthdate: SSN:

DL#State: County:

Applicant Signature:Date:

Parent Signature:Date:

Parent/Guardiansignaturealso requiredif underthe ageof eighteen(18).

BusinessOffice UseOnly

Department:

Report(s)Processed

orCompletedBy:Date:

ConfidentialHumanResourcesForms Rev.2015.09

BackgroundCheckingNotification

Overview

TrinityFellowship(Trinity), inordertofacilitatethe safety ofits church familyandguests, require all staff andvolunteers tosubmittobackgroundscreening.

GeneralNotice

Backgroundchecksareconducted onallemployee and volunteercandidates identifiedasanindividualwhomaybe consideredforemploymentor volunteerism.Eachcandidatewill bepresentedwiththe“DisclosureandAuthorization to ObtainInformation”formtobecompletedandsubmittedbacktoTrinity.Uponreceiptandaspartof theevaluation, Trinitymay useathirdpartyagency toconductthebackgroundcheck,alsoknownasa consumerreport.Theinformation collectedduringabackgroundcheck mayinclude,butisnotlimited to,that pertainingtoanindividual’s criminalhistory, motor vehiclehistory,socialsecuritynumber,earningshistory,character,generalreputation,employmenthistory (includingreasonsfortermination),creditworthiness,creditcapacity,creditstandingoranyotherinformation requested by oronbehalf ofTrinityasneededforthe employment orvolunteerposition.

Information obtainedfromthebackgroundchecking processwillbeusedaspartofthehiringorapprovalprocessand Trinitywill makereasonableeffortstokeeptheinformation confidentialaswellascomplywiththeapplicable requirementsof theFair CreditReportingAct(FCRA,15U.S.C. §1681).

Beforetakinganyadverseactionbasedupon aconsumerreport,Trinitywillprovidethecandidatewitha copy of the consumerreportaswellasadocumentprescribedbytheFederalTradeCommissionentitled,“ASummaryofYourRights underthe Fair CreditReportingAct”.

Trinityreservestheright to modifythis notificationatany timewithorwithoutnotice.

ConfidentialHumanResourcesFormsRev.2015.05