ADULT YOUTH LEADER APPLICATION
Covenant Presbyterian Church
32 Southgate Ct., Suite 101
Harrisonburg, VA 22801
(540) 433-3051
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  • In the interest of time, please keep all answers brief.

    BACKGROUND INFORMATION
  • MINISTRY AND LEADERSHIP EXPERIENCE

  • PERSONAL TESTIMONY

  • LIFESTYLE

  • Please give two NON-FAMILY references who are 18 or older

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  • All information on this application is confidential and will be used solely by the CPC staff for evaluation purposes only.

  • I have read and agree to all Child Protection Policies (Child Protection Policies are on the Children's Ministry/Child Protection webpage). I am giving my authorization to Covenant Presbyterian Church to verify the information on this form and to contact my references.

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  • If you are NOT Child Protection approved, after submitting this form please return to the church website and go to the Children's Ministries Child Protection page. Under Youth Ministries click on "Disclosure Form" and complete the form. Then click on "Background Check" and complete this form.