Page 28 | The Fellowship of Claremore

Name (Required)

Email Address (Required)

Your Phone Number (Required)

Birthday (Required)

Your Address (Required)

What ministry are you interested in participating in? (Required)

CONFIDENTIAL INFORMATION

At the Fellowship of Claremore, we seek to provide a safe place for all who participate in our ministries and attend services. We ask that all volunteers allow us to conduct an independent background investigation. All information obtained will be kept in the strictest confidence. Answers to these questions or information discovered will not necessarily preclude your involvement in the ministry. We thank you for your cooperation and understanding.

Were you a victim of abuse or molestation as a minor? (Required)

I have sought professional help in working to resolve ths issues surrounding that abuse. (Required)

Yes

N/A

Have you ever been convicted or pled "no contest" to a criminal offense? (Required)

Have you ever been convicted for any sexually-related crime? (Required)

Have you ever been convicted for any abuse-related crime? (Required)

Discussion

If you answered "yes" to any of the above questions, you should discuss your answer in confidence with the safety leader and/or a staff member.

Please list a non-family reference, NAME, PHONE, & EMAIL (Required)

Please list a second non-family reference, NAME, PHONE, & EMAIL (Required)

By typing your name below you hereby authorize The Fellowship of Claremore and/or its agents to make an independent investigation of my background, references, criminal, or police records maintained by public and private organizations and all public record (Required)

Solve 6 + 8 = ?

The Fellowship of Claremore

16404 E Hwy 20
Claremore, OK 74019

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