Prison Ministry Application

First Name

Last Name

Campus

Mobile Phone

Address

Birthday

Gender

Marital Status

If divorced, how long have you been divorced?

Spouse's Name (If Applicable)

Age of Children (If Applicable)

Please check all the statements that apply to you. I believe

That Jesus is God and was born of a virgin That Jesus is God's Son and the only sacrifice for sin That Jesus rose bodily from the dead That the Holy Bible is accurate and without fault That a relationship with Jesus Christ is the only way to God

Are you born again?

How long?

Do you smoke?

Are there any willful sins or addictions in your life?

Are you living with anyone of the opposite sex other than your spouse, parents, children or siblings?

How long have you been regularly attending or streaming Free Chapel?

Do you have previous Prison/Corrections experience?

Do you currently serve with Georgia Dept. of Corrections with an active badge?

Briefly explain why you want to serve on the Prison Ministry Team.

Have you completed the Next Steps path?

I spend ten or more minutes praying.

I read my Bible.

I tithe my income.

Have you ever been charged, arrested, or convicted of a felony or misdemeanor?

If yes, please explain.

Has anyone ever brought or threatened to bring civil or criminal claim against you alleging physical or sexual abuse or sexual harassment?

If yes, please explain.

Have you ever been reprimanded as a student or employee for harassment of another individual or other appropriate behavior with another individual?

If yes, please explain.

Have you ever terminated your employment or had your employment terminated for reasons relating to allegations of physical or sexual abuse or sexual harassment?

If yes, please explain.

I agree to the following: (check all that apply)

Consistently read my bible; pray & tithe my income Live a lifestyle of holiness; honesty & integrity Abstain from alcohol

I agree NOT to do the following: (check all that apply)

Divert from Free Chapel's Articles of Faith

Complain or tolerate any negativity and gossip

Thank you for completing the Prison Ministry Application. By checking the box below, I am certifying that the information contained in this application is complete, accurate, and not misleading in any way. Should my application be accepted, I agree to submit to the policies and procedures of Free Chapel membership, and Free Chapel Corrections Ministry leadership, and to refrain from unscriptural conduct in the performance of my service on behalf of Free Chapel.

I agree

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