The above information is accurate and truthful, and I consent to its disclosure under the conditions described above. If my answers to these questions would change due to events taking place after the date of this form, I understand it is my responsibility to disclose this immediately to a member of the Pastoral Staff. I authorize any references or churches listed in this application to give you any information (including personal opinions) that they may have regarding my character and fitness for children's ministry work. I release all such references from any liability for furnishing such evaluations to you, provided they do so in good faith and without malice. I further authorize Immanuel Church to conduct a criminal background check through the organization of their choice. Should my application be accepted, I agree to be bound by ALL of the bylaws and policies of Immanuel Church. I understand that all information resulting from these disclosures will remain strictly confidential.