The information contained in this application is correct to the best of my knowledge. I authorize DCCC to obtain Information from references, and churches listed herein. I also authorize any references, churches or other organizations listed in this application to give you any information including opinions that they may have regarding my character and fitness for Ministry Work. In consideration of the receipt and evaluation of this application by DCCC, I hereby release any individual, church, children's organization, charity, employer, reference, or any other person or organization, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application. Should my application be accepted, I agree to be bound by the Bylaws and Policies of DCCC, and to refrain from unscriptural conduct in the performance of my services on behalf of DCCC, I understand that DCCC desires to protect those who use their facilities therefore give my permission for DCCC to conduct a criminal and sex offenders background check on me, I further state that I have carefully read the foregoing release and know that contents thereof; and sign this release as my own free act.
