Application for Safety Team

Your name *

Last name

Email address *

Phone number *

Phone type

MobileHomeWorkOther

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Do you have firearms training? *

Yes

No

Do you have a current concealed handgun permit? *

Yes

No

Do you have previous experience on a church safety team? *

Yes

No

For office use only:

Background check conducted?

Yes / No

Date: ________________________________

Submit

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