Volunteer Clearance Application

By completing the requested fields below you give permission for Calvary Bible Fellowship Church to run the required clearances in order to serve in compliance with PA State regulations.

Full Name

This address will receive a confirmation email

Phone

Date of Birth

Gender

Male Female

Address

If mailing address is different than home address, please list it below.

Individually list ALL states you have lived in since 1975 (you do not need to repeat a state if you lived there, moved, and returned).

Have you resided anywhere other than Pennsylvania in the last 10 years?

Yes No

If you have lived in a state other than Pennslyvania over the couse of the last 10 years, you will be required to go through the FBI fingerprinting process. A ministry leader will contact you and walk with you through the process.

Individually list the Full name of all Parents/Guardians

Individually list the Full name of all Siblings or none as it applies

Individually list the Full name of all Spouses or none as it applies

Individually list the Full name of all Children or none as it applies

Individually list the Full name of all other persons you have lived with and their relation to you (i.e. grandparents, roommates etc).

Would you like a paper copy of your clearances mailed to your address if available? Yes No

Do you hereby certify and swear, under penalty of law, that the information entered on this clearance is accurate and complete to the best of your knowledge and belief? If so, check the box and write your name below.

Yes, I certify and swear that the information on this clearance is accurate and complete to the best of my knowledge.

Description

Thank you for filling out this application and seeking to use your skills to bless Calvary.

Volunteer Clearance Application

Description

Please Fix the Following