Information collected in this form will be used to perform background and reference checks for the purpose of determining fitness for ministry with youth and/or children at St. Anne’s Episcopal Church. All information is visible to the Rector and Parish Administrator. Portions of the information provided may be made available to adult members of the Youth Committee involved in the screening process.

Before completing this form, download and read the Diocese of Georgia’s Policies for the Protection of Children and Youth from Abuse at http://georgia.anglican.org/docs/Final-Child-Protection-Policy.pdf. (If this link is broken, contact the church office immediately.)

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Personal Info