I recognize that The Open Door Chuch is relying on the accuracy of the information I provide on this form. Accordingly, I attest and affirm that the information I have provided is absolutely true and correct.
I authorize The Open Door Church to contact any person or entity listed on the Children's Work Application form, and further authorize any such person or entity to provide The Open Door Church with information, opinions, and impressions relating to my background or qualifications.
I voluntarily release The Open Door Church and any such person or entity listed on the Children's Work Application form from liability involving communication of information relating to my background or qualifications. I further authorize the organization to conduct a criminal background investigation, child abuse investigation of me.
I have carefully read the policy and procedures of The Open Door Church, and I agree to abide by them and to protect the health and safety of the children assigned to my care or supervision at all times.