Serve in Kids life

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Phone *

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What age group of children do you prefer to work with? *

Check all that applies

Nursery (Newborn-2 Years Old)

Preschool (3 Years Old - Kindergarten)

Elementary (1st Grade- 3rd Grade)

Preteens (4th Grade - 6th Grade)

Reference #1 *

First Name

Last Name

Phone *

(###)

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Reference #2 *

First Name

Last Name

Phone *

(###)

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Reference #3

First Name

Last Name

Phone *

(###)

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Here at the Well we highly value our children's safety, that is why before being cleared to volunteer in Kids Life, we run a national criminal check on every applicant, as required by the Foursquare denomination. We also distribute the applicant's name and photo to church staff members for approval. *

By signing your name, you acknowledge and give us your consent to run a background check

First Name

Last Name