DNOW 2023 Host Application
You will receive an email with detailed objectives and instructions when your application has been accepted.

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Email *
Basic Overview of the Role of Host Home:
Basic Overview of the Role of Host Home (you will receive an email with more detailed objectives when your application has been accepted):

·  Be a BHBC member with a current background check and live within about a 10 mile radius to BHBC.
·  Open your home for about 8-12 middle or high school students and a small group leader, Friday night through Sunday morning.
·  Transport students from your home to BHBC and back at scheduled activities at the church: Friday night, Saturday morning, Saturday night, and Sunday morning.
·  If you receive a Co-Host, you will have assistance with transportation and breakfast and lunch on Saturday. Otherwise, you will be responsible for this.
*
Are you a member of BHBC? *
Last Name *
Primary Cell Phone *
Secondary Phone *
Home Address *
City, State & Zip Code *
Subdivision
Email you check most often: *
Family Members *
Please list Names, Gender & Ages
Do you have anyone living with you in addition to those listed above? *
If yes, please list their name, age and gender:
Which of your family members or other persons will be in your home AT ALL during the weekend? Please list names and ages. *
Do you have a gender request
We will do our best to honor your requests, be we cannot make any guarantees.
Clear selection
Do you have a Co-Host request?
We will do our best to honor your requests, be we cannot make any guarantees.
How many bathrooms/showers will be available for the students to use? *
Please list what kind of pets you have and how many:
Are there any health/safety issues we should be aware of? *
What ministries do you currently serve in at BHBC? *
Why do you want to offer your home to DNOW students for the weekend? *
Have you ever been arrested and/or convicted of any offense against the law? *
You may omit minor traffic violations.
If yes, please explain in detail:
Have you ever been accused, charged or alleged to have committed any act of neglecting, abusing or molesting any child? *
If yes, please explain in detail:
Additional comments or requests:
I will attend the kickoff dinner Thursday, November 2, at 6:30 PM *
Please read: *
In connection with my application for volunteer service, I am giving my authorization to (Burnt Hickory Baptist Church or its representatives) to verify the information on this form. The church may contact appropriate government agencies to solicit background information relative to my criminal record history. I understand that Burnt Hickory Baptist Church may conduct inquiries into my background that may include criminal records, personal references, and other public record reports pertaining to me. Due to child protection policies, I understand that Burnt Hickory Baptist Church will be checking for a current background check on file, and that if there is not a current background check on file, they reserve the right to make further inquiries to ensure the safety of our students. After reading this document I fully understand its content and authorize the background verification.  I also certify that the answers provided above and below are accurate to the best of my knowledge and belief.  I am aware that failure to complete this application, intentional omissions, or misstatements may result in refusal of volunteer eligibility. Should my application be accepted, I agree to be bound by the Bylaws and policies of Burnt Hickory Baptist Church and to refrain from unscriptural conduct in the performance of my services on behalf of the church.
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