Deansboro Congregational United Church of Christ Safe Church Disclosure Form
Name__________________________________ Address________________________________ Phone__________________________________ Name of church where I am a member________________________________ I have been a member of this church since_____________________________ I have been a friend of this church since_______________________________
I have never been found guilty, or pled guilty or no contest, to a criminal charge:
No civil lawsuit alleging actual or attempted child abuse has ever resulted in a judgment being entered against me, been settled out of court or been dismissed because the statute of limitations has expired:
The covenants between persons accepting sanctioned volunteer positions or employment in the church require honesty, integrity, and truthfulness for the health of the church. To that end, I attest that the information set forth here is true and complete. I acknowledge that it is my duty to amend the responses and information I have provided, though accurate when given, when the response or information is no longer accurate. Signature _____________________________ Date _________________________________ Reviewed by the Moderator _______________________________(signed) Date _________________________________ |
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Safe church policy | Definitions. |