Statement of Privacy
This authorization form is to be completed by all applicants over the age of 18 for any position involving the supervision or custody of minors. This is not an employment application form. This form is being used to help our church provide a safe and secure environment for those children and youth who participate in our programs and use our facilities. The completed form will be available only to designated Holy Cross staff members. Once the approval process has been completed, this document will be maintained in a secure file location.

Please email the completed form to Miranda Daniels | mdaniels@holycrossjenison.org

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