Part I

Personal & Contact Information

First Name

Last Name

Preferred Name

Birthdate

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

Emergency Contact Information

First Name

Last Name

Relationship

Phone Number

Experience, Skills & Training

Prior Security, Law Enforcement or Military Experience:

Prior Security Experience in churches or nonprofits:

Relevant Certifications:

Physical or Mobility limitations:

CCP Information

Do you currently hold a Concealed Carry Permit

Permit Status

Issuing State

Permit Number

CCP Expiration Date

Authorization and Agreement

- I understand this position requires a background check, including criminal history and sex offender registry search.
- I agree to adhere to the church’s security policies, safety rules, and confidentiality guidelines.
- I certify that all information in this application is truthful and complete. I understand providing false or misleading information is grounds for removal.

Signature

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Part II

Send Resume