Serving with Kids & Students

Opportunities to impact lives for a lifetime, and eternity.

Personal Background: The forms and questions listed below are necessary in order to provide a safe and secure environment for our youth. All information will be held strictly confidential. Thank you for your cooperation and understanding.

By submitting this form, I understand and agree to the following:

The information I have provided may be verified by contacting the persons named in this application. I consent to a background check. If questions arise concerning my fitness for duty, I will be notified of its nature by the Youth Pastor. I hereby release from liability of any kind and agree to hold harmless any person or organization that provides information on my background to FBC and its agents. I also release from liability of any kind and agree to hold harmless Fellowship Bible Church, Winchester VA and the elders, pastors, employees, volunteers, and agents thereof.


The personal information I have provided will be restricted to the Elders and Pastors of Fellowship Bible Church. I affirm that the information I have given is true and correct.