If you do not have a legal middle name, please indicate "NA"
Background Check and Covenant
BACKGROUND CHECK AUTHORIZATION
The Christian Church (Disciples of Christ) in the Northern Lights Region conducts background checks through the Praesidium company. When you submit this application, your contact information will be used to have an electronic background check authorization form sent to you by Praesidium. Please watch for that email within 24-48 hours of submitting this form. If you do not receive the email, please contact the office of the Northern Lights Region
Per this region's Youth and Children's Safety Policy, all persons participating in NLR events for youth or with youth, must agree to a background check.
This submitted application also affirms the following Covenant:
I desire to serve as a volunteer working with youth for the Northern Lights Region. I understand that personal references may be contacted to confirm my character and abilities as appropriate for leadership at the events I participate in. I promise to cooperate with other volunteers, counselors, directors and staff and to uphold all standards set forth by the Region and the event leadership. With God’s help, I will seek in every way to provide an experience on the highest Christian level for all who attend the event which I serve. I will participate in all training opportunities planned for the event and at all times will conduct myself as the Christian example I am called to be.
I understand this application is good for three years from the date this form is submitted and will need to be completed again at its expiration.
Two References are necessary for a complete application.
- One reference must be your pastor. In the case of clergy applying the Regional Minister must be your pastoral reference. For those congregations without a called pastor the Moderator/Chairperson of the church board or Youth Group Leader may be substituted.
In addition to one reference from a minister select one person familiar with your character as it relates to working with children or youth.
Do not include a relative or significant other; the two references should not be related to one another.
YOU ARE RESPONSIBLE FOR YOUR REFERENCES RETURNING THEIR FORMS TO THE REGIONAL OFFICE.