APPLICATION PACKET INSTRUCTION SHEET

The Child Safety Program consists of two components: the Application packet and an Interview. This sheet provides instructions on how to fill out the packet and how to set up an interview.

Application Packet

The application packet should take approximately 60 minutes to complete. You may obtain an application packet from the church office. The packet includes:

Application Form (green sheet)

Complete all areas of the application form on page 1, 2, 3, 4, and the top portion of page 5. Your interviewers will review the Applicants Statement on page 5 with you at the time of your interview. Do not sign the Applicants Statement now. You will sign it at your interview.

If you have any questions related to the application you may contact the church office or ask your interviewers during the interview.

* If you need any help in filling out the application, please call the church office.

Recognizing Child Abuse and Neglect (beige sheet)

This is an educational component of the Child Safety Program. Read this handout. The Church Resolution contains a section that states" I have read and understood the handout entitled Recognizing Child Abuse and Neglect."

Church Resolution (yellow sheet)

Please review the Church Resolution prior to your interview, but do not sign it until your interview.

Commonwealth of Virginia Child Protective Services Release Form (white form)

Complete Part II (bottom of front page) only. Try to fit information about all children on the front. The application fee is paid by the church. This form must be signed in the presence of a notary public who will then attest your signature (see back page). Cheryl Deans, our church Office Manager, is a Notary. Arrangements can be made with Cheryl at no cost to sign the form or you may have it notarized by a notary that you choose.

Interview

Please review the "Interview Information Sheet" (blue sheet).

To schedule an interview please call Cheryl Deans at the church office. Allow 30 to 45 minutes for the interview.

At the time of your interview please bring:

© 1997 by New Life Community Church of Stafford

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Child Safety Program NLCC Child Safety Manual Child Safety Packet Instruction Sheet Child Safety Application Recognizing Child Abuse & Neglect Child Safety Resolution Interview Information Sheet