St. Mark's Expression of Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

So, we can look after students in the best possible way we need info! We commit to keeping this information private. We will only use it to ensure the safety and well being of students while you are involved with St. Mark's programs...

Email *

Name: *

Phone Number *

Email: *

Address *

Position of Service *

Why are you interested in this position? *

Tell us any of your previous experience or relevant life experiences you have: *

Do you have any mental or physical health issues that we should be made aware of? Please give details: *

Do you have a current First Aid certificate:

Do you have any safety training or other relevant training? (When and Where) *

Do you have a current blue card (if so please provide number and expiry date)? *

Have you been arrested or the subject of an investigation concerning people under 18 years old? *

Please give the name and phone numbers of two referees who can speak of your suitability for this position: *

In case of emergency please contact (provide name, number and relationship to you): *

SIGNATURE

I declare that my answers to the above questions are true and that the information provided is correct. I have read the St. Mark's Leader's Manual, Code of Conduct Statement, and agree to follow the guidelines contained in it.

Signature (Print Name Caps) *

Date of Signature *

YYYY

St. Mark’s Lutheran Church gathers and stores the following information: names, addresses, phone numbers, email addresses. This information is stored only for the purpose of communication with and care for our church community. No personal details are given out to anyone not in this contact list. Details will not be published or made available anywhere else without prior consent. If you have any questions about our privacy policy or wish to be removed from the list, please contact St. Mark’s church office.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms