Kids First Confidential Leader Screening Form

This application is to be completed by all applicants for any position/service involving minors.  It will help our church provide a safe and secure environment for preschoolers, children, and students who participate in our ministries and use our facilities.

Information provided on this screening form, as well as records of contact with your references and former churches will be held in strict confidence.  Ministry staff members with a legitimate need are the only persons who will review this information.

Fields with an  *  are required.

REFERENCES (Required)

List two LifeSpring Church attendees/members OR individuals from your previous church (other than family members) who have known you for at least 3 years.

List two personal references other than family members.  These two individuals cannot be related to each other.

The information contained in this application is correct to the best of my knowledge.  I authorize references or churches listed in this application to provide information (including opinions) they may have regarding my character and fitness for serving with preschoolers, children, or students.  I release all such references from any liability for furnishing such evaluations, provided they do so in good faith and without malice.  I waive any right I may have to inspect references provided on my behalf.  Should my application be accepted, I agree to be bound by the bylaws and policies of LifeSpring Church and to refrain from unscriptural conduct in the performance of my services.  I acknowledge that I have received a copy of LifeSpring Church’s Kids First Child Protection Policy.  I further state that I have carefully read the foregoing release and know the content thereof and I sign this release as my own free act.  This is a legally binding agreement which I have read and understand.