Authorization & Signature
The following questions are necessary to provide a safe and secure environment, but are in no way meant to offend or embarrass. Answering "yes" to any of these questions will not automatically disqualify you from volunteering. This questionnaire will be kept highly confidential.
I recognize that The Ark Church is relying on the accuracy of the information I provide on this application. I attest and affirm that the information I have provided is absolutely true and correct. I authorize The Ark Church to contact any person or entity listed on this application, and I further authorize any such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications. I voluntarily release The Ark Church and any such entity listed on this application from liability involving the communication of information relating to my background or qualifications. I understand that I am entitled to a complete and accurate disclosure of the nature and scope of any consumer report on me. I also understand that I may receive a written summary of my rights under 15 U.S.C. §1681 et. seq. I acknowledge that I am volunteering my time and efforts in service to Christ through the ministries of The Ark Church, and that I will receive no monetary compensation or insurance benefits for my time or services performed. The Ark Church wishes to maintain in confidence all information including data (which includes personal information), technology, commercial and research strategies, trade secrets, inventions, and know-how disclosed by The Ark Church to the Volunteer. The Volunteer agrees not to disclose Confidential Information. I acknowledge and accept the risk of physical injury that could occur from my participation as a volunteer. Except for gross negligence on the part of The Ark Church, I accept personal financial responsibility for any bodily or personal injury sustained while I am volunteering. Further, I release and agree to indemnify and hold harmless The Ark Church, and its officers, directors and representatives from any liability, injury, damage, loss, accidents, delays, or irregularity related to being a volunteer for The Ark Church. I acknowledge that I may be photographed, videotaped, or otherwise recorded, whether on film or sound during my volunteer work for The Ark Church. I assign to The Ark Church the rights to any photos, videotapes, images, and/or sound recordings made of me by or for The Ark Church. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
I certify that I have read and fully completed all pages of this application and that all information is correct to the best of my knowledge. By entering my name below, I understand that I am submitting my application for a volunteer position at The Ark Church.