Nursery Worker Application













Personal Beliefs

Background Information




Professional Reference

Personal Reference (non-family member)

Acknowledgements and Agreements

Affirmation of Accuracy: I affirm that all of the information contained in this application is true and correct to the best of my knowledge. I understand that I may be asked to speak confidentially with a staff member regarding any of my answers, and agree to do so.
Authorization for Verification and Background Check: I authorize Ridgepoint to verify the information on this form and to conduct investigative inquires on my background to assess whether any reason exists that would suggest that I not be accepted for a Kids or Student Ministry position. These inquiries may include, but not be limited to, ID verification, criminal history background check, driving record check, and inquiries to references and government agencies. I authorize any individual, group, agency, or organization to give Ridgepoint any information (including opinions) that they may have regarding my background, character, and fitness for the ministry I waive any right that I may have to inspect any information about me obtained and maintained by Ridgepoint in connection with this application and my participation in the nursery and Kids Ministry.
Release of Liability: In consideration of the receipt and evaluation of this application by Ridgepoint, I hereby release Ridgepoint and its representatives, as well as any outside individual, group, agency, or breach of privacy, that may at any time result to me, or anyone entitled to recover through me or because of their relationship to me, in connection with the preceding Authorization.
Further, in consideration of Ridgepoint allowing me to participate in Kids or Student Ministry, I, for myself as well as for anyone entitled to recover through me or because of their relationship to me, hereby waive and release all right and claim for damage that may exist against Ridgepoint and its agents, employees, representatives, volunteers, successors and assigns (collectively, “the released Parties”), for any and all injuries or damages of any sort suffered by me arising out of my participation. I further agree that in the event any party or entity makes any claim against the Release Parties for injuries or damages arising out of such participation, I will indemnify, defend and hold the Released Parties harmless from any and all damages and expenses occasioned thereby, including attorney’s fees.
Termination: I recognize that I have no right to participate in Kids or Student Ministry at Ridgepoint and that my participation may be terminated by Ridgepoint at any time for any reason or for no reason. I waive any right I might have to challenge such termination in any manner.

Applicant's Statement

I have carefully read and understand the contents of these "Acknowledgements and Agreements" and sign this document as my own act, recognizing that it is legally binding.