ADULT YOUTH LEADER APPLICATION
Covenant Presbyterian Church
32 Southgate Ct., Suite 101
Harrisonburg, VA 22801
(540) 433-3051
nancy@cov-pres.org
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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. 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, please return to the Youth Ministries Forms and Downloads page, and click on "Child Protection Disclosure Statement" and complete the form.

  • If you are NOT Child Protection approved OR you were approved when you were under age 18, please return to the Youth Ministries Forms and Downloads page, and click on "Consent for Criminal Background Check" and complete the form.