First Priority Campus Coach Application

Name:*

Email:*

Phone:*

Date

City:*

State:

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Zip Code:

Are you a citizen of the United States of America?

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Have you ever been involved with First Priority before?

Use this field to let us know if you've been a student leader, campus coach, teacher sponsor, or any other role you've played. Please list dates, school, and city where you were involved with First Priority. Leave blank if you've never been involved with First Priority before.

Christian Journey:*

Describe your journey as a follower of Christ.

Disclaimer

If you live in a state whose law exempts you from answering any of questions 1 through 6 above, you need not answer such question(s). For example, in certain states, such as Colorado, Illinois, Ohio, Oklahoma or Rhode Island, if you are the subject of a conviction or arrest contained in a sealed or expunged record, you may respond “no” to question No. 1 as to such a conviction or arrest. Also,as a further example, if you lived in a state which exempts you from providing arrest information, such as Michigan, Illinois, New York, Rhode Island, Washington (state) or Wisconsin, do not answer question No. 2.

Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations)? You will need to answer “yes” if you have entered into a plea agreement, including a deferred sentence or deferred judgment arrangement, in connection with a criminal charge.

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Criminal explanation

If you have been convicted of such an offense, please attach a statement or explanation, including nature of offense, date, court where conviction was entered and any other relevant information.

Have you ever been charged with a sexual offense, crime of violence or offense relating to children?

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Sexual offense explanation

If you have been charged with such an offense, please attach a statement or explanation, including nature of offense charged, date, law enforcement agency making the charge and any other relevant information.

Have you ever been reported to a social services agency, law enforcement authority, child abuse registry or similar organization regarding abuse or misconduct involving children?

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Child abuse explanation

If so, please provide a description of the circumstances and name and address of the entity receiving the report.

Have you ever been subjected to expulsion, reprimand or other discipline by a church, denomination or other religious organization, including First Priority?

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Church discipline explanation

If so, please describe the circumstances and provide the name and address of the church, denomination or religious organization involved.

Have you ever been dismissed from employment by any employer, including First Priority and/or other charitable and religious organizations, following an allegation of sexual misconduct or other immoral or inappropriate behavior or conduct?

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Employment dismissal explanation

If so, please describe the circumstances and provide the name and address of the employer.

Have you ever been the subject of an investigation or allegation of sexual misconduct, sexual harassment or other immoral behavior or conduct involving adults or children?

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Sexual misconduct investigation explanation

If so, please describe the circumstances and provide the name and address of the employer, educational institution, church or other organization where the investigation, review or complaint occurred.

Signature:*

By typing your name into this box, you certify that your answers are true and complete. You agree to send us a letter of reference from the pastor of the church that you attend and/or are employed at. You also understand that filling out this application does not give you permission to start using the name First Priority in a ministry setting. A background check and letter of reference will be needed before you begin. By signing below, you agree that, if you become an employee or volunteer leader of First Priority, and become involved in criminal proceedings or other circumstances that would cause your answers to any of the questions above to change, you will immediately notify, and provide a complete description of the circumstances to, the CEO of First Priority.

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