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Epic Connection Card
December 4-10 Prayer Focus
Life Transformation Groups
Student Ministry Calendar
2024 Faith Challenge
This form must be completed in order for anyone to volunteer on the Counting Team.
Personal Information for Background Checks
Middle Name (Please type N/A if not applicable.)
Maiden or Former Name (Please type N/A if not applicable.)
Date of Birth
Place of birth (Country and State):
Social Security Number
Drivers License Number (Please type N/A if not applicable.)
Drivers License State (Please type N/A if not applicable)
Have you ever been convicted of fraud or a financial crime?
If you answered "Yes" to the above question, please provide a statement below stating the circumstances of your conviction. Alternatively, you can indicate here that you would like to speak directly with a staff member or Pastor.
Please give a brief summary of your walk with Christ:
IMPORTANT: References may NOT be family members or anyone living within your household, anyone under 18 years of age, or Epic staff members. References may be friends, co-workers, employer, etc..