REnewfm volunteer application

This application is to be completed by those desiring a ministry position involving the supervision of minors. It is to help Renew Communities provide a sage a secure environment for the children who participate. Information shared here is kept confidential. 

Please complete the form below.

Name *
Name
Address *
Address
Phone *
Phone
Birthdate *
Birthdate
This will only be used to process background checks.
YOUR STORY
FOR YOUR PROTECTION
The following questions are a part of a process to help provide a safe and secure environment for our children. Please answer "yes" or "no." All information is confidential.
LOGISTICS
Please check all of the RenewFM age groups/areas that you would be willing to work with. *
Please check the services you are available to serve in. *
It is our hope to only have volunteers serving once per month, but that is not always possible. We're so appreciative of all of our volunteers that are willing to serve more often.
VOLUNTEER APPLICATION CONSENT RELEASE FOR BACKGROUND CHECK
During the application process for volunteer service with Renew Communities, I authorize Renew Communities and Gallant Background Checks LLC, and their agent to obtain background information relative to my criminal history. This report may be compiled with information from courts record repositories, departments of motor vehicles, past or present employers and educational institutions, governmental occupational licensing or registration entities, business or personal references, and any other source required to verify information that I have voluntarily supplied. BY TYPING MY NAME BELOW, I HEREBY AUTHORIZE Gallant Background Checks, LLC, on behalf of Renew Communities to procure a consumer report, including an investigative consumer report, on me before I volunteer for Renew Communities or at any time during the course of my volunteering with Renew Communities. I release and hold harmless Renew Communities and their respective employees or Gallant Background Checks LLC, their agent and employees and any person, firm, agencies and entities that disclose matters in accordance with this authorization, also from any liability that may result from the request for use of and/or disclosure of any or all of the requested information.
FULL NAME *
FULL NAME