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Your Church
Children's Workers Application 
This application is to be completed by all applicants for any position involving the supervision or custody of minors. It will help our church family provide a safe and secure environment for children and youth.

Personal Information
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Spiritual Journey
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Please list other churches that you have attended regularly during the past five years. Include the type of work involving children/youth that you performed. If you have not attended church please disregard this portion of the application.
 
References (please include one professional reference and one personal reference - no relatives please)
Personal Reference
Professional Reference
List all previous non-church work involving children. Attach additional sheet if necessary
Applicant Statement (Please read and initial each statement.)
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Electronic Signature
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* indicates a required field
Please fill this field.
House Church Ministries
1412 W. Central Ave., Spokane, WA 99205
PH: (509) 270-8252

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