Safe Church Policy
First Congregational Church
MISSION STATEMENT
The Safe Church Policy of the First Congregational Church, United Church of Christ, Branford, CT, provides for a safe and nurturing environment for all who participate in its programs.
Section I - INTRODUCTION
A. Policy Statement
The First Congregational Church, United Church of Christ, Branford, CT, hereafter referred to as "the Church," prohibits all forms of sexual, physical and emotional abuse, and sexual harassment as defined below, in any activities sponsored by the Church. It is the intention and responsibility of the Church to take whatever action may be needed to prevent and correct behavior which is contrary to this policy. These actions include screening staff and volunteers, training staff and volunteers, setting guidelines for working with youth, publicizing reporting procedures, and responding effectively to reports of abuse.
This policy will be reviewed annually by the Church Council to ensure its continued effectiveness.
B. Definitions
1. Child Abuse
An abused child is one less than eighteen years of age whose parent or other person legally responsible for his or her care:
o Inflicts or allows to be inflicted serious physical injury to that child.
o Creates or allows to be created a substantial risk of serious physical injury.
o Commits or allows to be committed a sex offense against the child including: rape, sodomy, forcible touching; patronizing, promoting or permitting prostitution; incest; and using a child in a sexual performance, such as promoting a sexual performance by a child in person, on video, on computer, or in a still photo.
2. Child Maltreatment (including Neglect)
Maltreatment means that a child's physical, mental, or emotional condition has been impaired, or placed in imminent danger of impairment, by the failure of the child's parent or other person legally responsible to exercise a minimum degree of care by:
o Failing to provide sufficient food, clothing, shelter, education.
o Failing to provide proper supervision, guardianship, or medical care (refers to all medical issues, including dental, optometric, or surgical care).
o Inflicting excessive corporal punishment, abandoning the child, or misusing alcohol or other drugs to the extent that the child is placed in imminent danger.
Poverty or other financial inability to provide the above is not considered maltreatment.
3. Discipline
Discipline must be administered in such a way as to help each child develop self-control and assume responsibility for his or her actions through clear and consistent rules and limits appropriate to the ages and development of the children in care. Adults in charge must use acceptable techniques and approaches to help children solve problems.
o Any discipline used must relate to the child's action and be handled without prolonged delay on the part of the staff, so that the child is aware of the relationship between his or her actions and the consequences of those actions.
o Isolating a child in a closet, darkened area, or any area where the child cannot be seen and supervised by an adult is prohibited.
o Where a child's behavior harms or is likely to result in harm to the child, others, or property, or seriously disrupts or is likely to seriously disrupt group interaction, the child may be separated briefly from the group, but only for as long as is necessary for the child to regain enough self-control to rejoin the group. The child must be placed in an area where he or she is in the view of, and can be supervised and supported by, an adult. Interaction between an adult and the child must take place immediately following the separation to guide the child toward appropriate group behavior.
o Corporal punishment is prohibited. Corporal punishment means punishment inflicted directly on the body including, but not limited to, spanking, biting, shaking, slapping, twisting or squeezing; demanding excessive physical exercise, prolonged lack of movement or motion, or strenuous or bizarre postures; and compelling a child to eat or have in the child's mouth soap, foods, hot spices, or other substances.
o Withholding or using food, rest, or sleep as a punishment is prohibited. Methods of discipline, interaction, or toilet training which frighten, demean, or humiliate a child are prohibited.
4. Sexual Harassment
o Unwelcome sexual advances, requests for sexual favors, and other verbal or physical conduct of a sexual nature are prohibited. This can include, but not be limited to:
o Rape, sexual battery, molestation, or attempts to commit these assaults.
o Intentional unwanted physical contact which is sexual in nature, such as pinching, patting, caressing, poking, grabbing, brushing against another person's body, or violating another person's space.
o Sexually oriented gestures, leering, noises, remarks, jokes, or comments directed at or made in the presence of any person.
o Sexually oriented material available on the Internet
5. Observation of a Known or Suspected Person with a Criminal History on Church Grounds/Property
A. In the event that a member of First Congregational Church, United Church of Christ, becomes aware that a person (or persons) who is a known criminal is attending our services and/or other church functions and may interact with the children, it is the member's duty to notify either the Senior Minister, the Sunday School Superintendent, or a Deacon of this persons presence. The identification may be made from a web site, news article, or other source.
B. Once notification has taken place, the following steps will be taken:
o Confirmation of the information and a determination of whether or not this person may pose a threat. Charges and/or convictions that would indicate a threat include, but are not limited to, rape, assault, endangering the welfare of a child, kidnapping, and child molestation.
o After confirmation, an appropriate plan of action will be agreed upon. This may include such steps as prohibiting any access to the Sunday School and its classrooms, no participation in any youth activities, limiting the individual to Sunday services and fellowship in Pilgrim Hall after services, etc.
o The person involved will be informed of the plan of action which will also be communicated to the staff by the Senior Minister or a designated member of the Church. It is incumbent upon the Church staff to ensure that the plan of action is being followed. If it is not, local authorities will be contacted.
Section II - PERSONNEL POLICIES
A. Screening process
1. All paid staff and volunteers who work with minors will complete the forms included in this document. Completed forms will be kept in a locked file, access to which is restricted to the Ministers and the person's supervisor(s), except as required by law.
2. Paid staff will complete the following forms:
o Criminal Records Check Consent Form
o Disclosure Form
The Church Council and the appropriate committee chairs will be responsible for screening these applicants.
3. Volunteers who work with minors will complete the following forms:
o Criminal Records Check Consent Form
o Volunteer Application
o Disclosure Form
The Sunday School Superintendent and the Chair of the Christian Education Committee will be responsible for screening these applicants.
4. Adults who supervise overnight stays of minors will complete the following forms:
o Volunteer Application
o Disclosure Form
The Sunday School Superintendent and the Chair of the Christian Education Committee will be responsible for screening these applicants.
5. Any adult who provides transportation to minors for the Church will submit a current and valid driver's license to be kept on file.
B. Selection criteria
1. All paid staff and volunteers who work with minors are subject to these restrictions:
o An individual with an undeclared criminal history will not be considered.
o An individual with a known conviction involving child abuse will not be considered.
o An individual who has any criminal history or history of child abuse which may impair his or her ability to effectively perform the functions of the position for which he or she is applying will not be considered.
2. Volunteers who work with minors are limited to:
o Church members and persons who are regular attendees. Regular attendance is defined as attendance at Sunday services an average of twice a month.
C. Training
1. All paid staff and teachers who work with minors will be given a copy of the Safe Church Policy. They will be trained by the CT Department of Children and Families or approved alternate regarding their responsibility in preventing and reporting allegations of sexual, physical, and emotional/psychological abuse or sexual harassment.
2. Training of paid staff and volunteers who work with minors will cover the following:
o Basic orientation to the facts about sexual, emotional and physical abuse, and sexual harassment.
o Description of what to look for in order to prevent abuse.
o Explanation of the Safe Church Policy and the reporting procedures.
o How to respond to reports of abuse.
o State requirements.
3. All staff will be trained in Cardiopulmonary Resuscitation (CPR) and First Aid. The training should include the use of universal precautions, e.g., gloves and mouth to mouth barriers. This training should be optional to the volunteer staff and any cost involved will be assumed by the Church. The Church will keep a copy of each person's certification or program completion card on file.
4. At the September teachers meeting each teacher will review his/her classroom and locate the nearest emergency exit to their room. A safe location outside of the building will be identified for each classroom by the Sunday School Superintendent or a member of the Safety Task Force. A form to document completion of this training will be completed. In addition the teacher will be shown the location of First Aid supplies and determine the location of the nearest fire extinguisher.
5. Training on the correct use of Fire Extinguishers will be given to all paid staff and offered to volunteers as an option.
6. Dates will be determined for a minimum of two (2) fire drills per year, one to be held in September and one in the spring. Smoke detectors should also be tested at these times.
7. The Safe Church Policy will be made available to all members and prospective members of the Church. The Church will provide at least one training session per year and will offer training more frequently, if needed. All committee members are encouraged to attend the training sessions.
.
D. SUPERVISION
1. CHILDREN ARE UNDER DIRECT ADULT SUPERVISION AT ALL TIMES.
2. It will be the responsibility of the Ministers to supervise all volunteers who work with minors to ensure compliance with the Safe Church Policy.
3. The supervision of the Ministers is the responsibility of the Deacons and the Human Relations Committee. The supervision of other staff members is defined by the Church bylaws.
4. When adults are supervising children the following guidelines will be followed:
o If any child is to participate in a chaperoned or supervised church activity away from the Church, a field trip form must be submitted to the appropriate leader.
o Any person transporting children in a motor vehicle must complete the Transporting Children in a Motor Vehicle Form and provide a copy of his/her valid driver's license.
E. Reporting of incidents
1. All staff and volunteers will adhere to the following reporting procedures in the event of a reported or observed incident of sexual, physical, or emotional abuse or sexual harassment:
o Any and all incidents will be reported immediately or at least within 24 hours to the Senior Minister, one of the Co-chairs of the Diaconate, and Moderator of Church Council
o The incident will be documented in writing by the person who received the report using the Misconduct Incident Report Form.
Section III - RESPONSE TO EVIDENCE OF ABUSE
A. Introduction
The Church staff and/or Church Council will treat every allegation of sexual, physical and/or emotional abuse or sexual harassment seriously. They will treat every allegation in a prompt and professional manner. The accused will be treated with respect and dignity during the process. Every effort will be made to comfort and protect the victim of the alleged abuse and to ensure that the victim's needs are being met. Confidentiality of all parties will be ensured.
B. Formation of a Response Team
1. When a report of abuse has been received, a Minister, one of the Co-chairs of the Diaconate, and the Moderator will meet within 24 hours to implement an appropriate response. They may choose to end the response process at this point if it is clear that no violation of the Safe Church Policy has occurred.
2. If a Minister is involved in the allegation, both Co-chairs of the Diaconate will inform the Regional Associate Conference Minister of the alleged incident.
3. A response team will be formed to review and act on the reported abuse. It will remain in place until the incident is deemed resolved. The response team will include a Minister, one of the Co-chairs of the Diaconate, and the Moderator. If one of the Co-chairs or Moderator is involved in the incident, a person appointed by a Minister will be substituted. One member of the response team will be designated the spokesperson of the Church to the media, likely the Senior Minister or the Moderator.
C. Response Team Actions
1. The response team will:
o Immediately notify the parent or guardian of any minor involved in the incident.
o Notify the Church's insurance carrier.
o Notify and discuss allegations with the Church's legal counsel to ensure that all legal requirements are met in the response process.
o Notify the congregation as appropriate.
2. The response team's actions may include, but are not limited to, the following:
o Overall evaluation of the incident, including interviews with the alleged victim and the accused, and counseling referrals, if necessary.
o Monitoring of the accused, and documenting contacts with the accused.
o Discussion with the accused to ensure he/she understands and respects appropriate limits of behavior.
o Immediate removal of the accused from his or her position, or placement on leave, pending completion of the investigation.
o Filing a report with appropriate law-enforcement agencies.
o Requesting assistance through the Department of Children and Families.
o Resolution of the case without law-enforcement intervention if all parties agree on a solution and the Church's legal counsel supports the solution.
Section IV - YOUTH PROGRAM GUIDELINES
In order to protect children, who are especially vulnerable to abuse, the following guidelines will be observed.
A. Program settings
1. Children's programs will take place either in open areas, rooms with glass doors, or rooms with open doors, and never in remote or private spaces.
2. Two or more adults will be present at all children's programs whenever possible. Adults will avoid placing themselves in compromising situations by being alone with a child out of sight of other adults. If a child has not been picked up on time by parents, two supervising adults will remain with the child whenever possible. Children will not be driven home by a lone supervising adult whenever possible. Instead, parents should be asked to pick up the child or children, or with parental consent, two supervising adults will bring the child home whenever possible.
3. All program participants will remain with the group throughout the program. Children will not be permitted to separate from the group activity or from adult supervision.
4. The Killam's Point facility is covered by the First Congregational Church, Branford, CT, Safe Church Policy for all its programs, day camps, services, etc., in addition to those policies required by the State of Connecticut.
B. Interacting with children
1. When touching children, adults will follow these guidelines:
o Adults will touch children only in appropriate ways and places such as on the hand, shoulder or upper back, avoiding discomfort or over-stimulation of the child.
o Adults will not touch children against their will except to protect the child or other people.
o Adults will not touch a part of a child's body that would be covered by a bathing suit, except in cases of clear medical necessity or when changing a diaper or helping young or handicapped people use the toilet.
o Adults will not initiate or encourage physical contact such as wrestling, horseplay, or any other high-contact games.
2. Children will not be disciplined through the use of spanking, hitting, slapping, or any other form of physical punishment. Verbal reprimands will not include destructive criticism, insults or shouting, threats, or intimidation. When an adult encounters a particularly difficult situation, he or she should seek assistance from the person in charge, such as the Sunday School Superintendent or a Minister.
3. Guidelines for toileting young children:
o All adults will wait outside the bathroom door for children while they are performing personal sanitary functions.
o When able, a child should take care of her/his own clothes after toileting. When a child needs help, the adult should have the child step out of the stall into an open area.
o Any adult who is helping a child go to the bathroom should inform the other adult in the room that this is what they are doing.
4. When helping children to clean up from crafts and to wash hands, the door to the bathroom should be left open.
Section V - USE OF FACILITIES BY OUTSIDE GROUPS AND/ INDIVIDUALS
A. Outside Groups and/or Individuals
1. One Time Use: All groups and/or individuals who request permission to use the facilities of the Church and/or Killam's Point will fully complete and sign the Church Use Policy Agreement. They will be given a copy of the guidelines for church use including a requirement that minors be properly supervised.
2. Repeat Use Policy: All groups and/or individuals who have formed an agreement to use the First Congregational Church, United Church of Christ, Branford, CT, for weekly or monthly events (such as piano lessons, community groups, etc.) will be made aware of the Safe Church Policy of the Church and will agree to abide by the provisions.
3. Scouts: Boy Scouts, Cub Scouts, and Girl Scout Troops are youth programs supported by the First Congregational Church, United Church of Christ, Branford, CT, and must abide by the policies of the Boy Scouts of America and the Girl Scouts of America which have the same goals as this policy.
4. Child Development Center: The CDC is subject to state laws governing nursery schools and must abide by their policies and procedures for maintaining a safe environment for children. Specific information can be obtained from the Director of the CDC.
Section VI - EMERGENCIES
A. Definitions:
o Emergencies will include, but are not limited to, accident, injury, illness, fire, explosion, motor vehicle accident or intruder.
B. IN THE EVENT OF A FIRE, THE FIRE ALARM SHOULD BE PULLED IMMEDIATELY AND ASSISTANCE WITH EVACUATION PROVIDED.
C. In the event of an injury or illness, an immediate determination will be made by a supervising adult as to the severity of the injury or illness. If it is serious or even in question, the following steps should be taken.
o Call 911 and give exact information as to the nature of the injury or illness. The location of the patient should be given, as well as the nearest entrance to the building for emergency personnel.
o The Sunday School Superintendent will be notified and he or she will insure that someone goes outside to meet arriving emergency personnel. If the incident is an injury or illness, appropriately trained personnel will respond to assist prior to arrival of professional help. The Sunday School Superintendent will notify parents or guardian. All questions from the media will be referred to the Senior Minister or designee.
o The Sunday School Superintendent will determine if any children or teachers may need counseling as a result of the incident and, if so, make the necessary arrangements.
o An incident report is required and must be completed and filed with the Senior Minister within 24 hours.
o Minor injuries, such as cuts, scrapes, and minor lacerations which only require first aid, should be treated by trained personnel and the Sunday School Superintendent notified. Illnesses will also be reported to the Superintendent. An incident report will be filled out and the Superintendent will notify parents or guardian.
D. In the event of an intruder or any emotionally disturbed person (EDP) entering the building, any supervising adult is authorized to take the following steps:
o Announce that, "Mr. Lock is here," an indication of a problem and the code for an immediate lockdown.
o If it is determined that the building and/or children are not safe, any supervising adult will announce, "Evacuation plan John," indicating that all children and adults will be moved to the Baptist Church, once the evacuation route is deemed to be safe; or "Evacuation plan Thomas," meaning children and adults will be moved to the Episcopal Church. The choice of plan depends upon the location of the danger and the safety of the proposed evacuation route.
Criminal Records Check Consent Form
To Perform Criminal History/Background Check
IN COMPLIANCE WITH THE FCRA (FAIR CREDIT REPORTING ACT)
CONFIDENTIAL INFORMATION
PART A
To be completed by all applicants
Last Name First Name Middle Name or Initial
Maiden or other name(s) used in any and all other records of birth or records of residence.
Address Apartment or #
City County State Zip
** Date of Birth Social Security Number **Gender **DL Number & State
**TO BE USED FOR CRIMINAL HISTORY CHECKS ONLY AND NOT A PART OF THE PERSONNEL FILE.
I, ________________________________________, am an applicant for employment / volunteerism with ___________________________ Church and have been advised that as a part of the application process, the congregation conducts a criminal history background check. I do hereby consent to the congregation's use of any information provided during the application process in performing the criminal history check. The congregation has informed me that I have the right to review and challenge any negative information that would adversely impact a decision to offer employment / volunteerism. In addition, I have been informed that I will have a reasonable opportunity to clear up any mistaken information reported within a reasonable time frame established within the sole discretion of the congregation. Under the fair Credit Reporting Act, I have been advised that upon request I will be provided the name, address and telephone number of the reporting agency as well as the nature, substance and source of all information. If named as an employee or volunteer of this congregation, I consent to the congregation repeating this criminal history background check on a periodic basis as a condition of my continuing employment / volunteerism.
The following are my responses to questions about my criminal history (if any).
1. ____YES ____NO Have you ever been convicted or plead guilty before a court for any federal, state or municipal criminal offense? (excluding minor traffic
misdemeanors). If yes, please provide details below.
State: County: Date of Offense:
Details of conviction: 1.
1.
1.
2. ____YES ____NO Have you ever-received deferred adjudication or similar disposition for any federal, state or municipal offense? If yes, please provide details below.
State: County: Date of Arrest:
Details of pending charges:
3. ____YES ____NO Have you ever-received probation or community supervision for any federal, state or municipal offense? If yes, please provide details below.
State: County: Date of Arrest
Details of pending charges:
4. ____YES ____NO Have you ever been convicted of any criminal offense in a country outside the jurisdiction of the United States? If yes, please provide details below.
State: County: Date of Arrest
Details of pending charges:
5. ____YES ____NO As of the date of this consent form, do you have any pending charges against you?
If yes, please provide details below.
State: County: Date of Arrest
Details of pending charges:
PART B
To be completed by applicants, if requested.
PLEASE LIST ALL COUNTIES AND STATES OF RESIDENCE SINCE HIGH SCHOOL GRADUATION OR AGE 18.
CITY/TOWN COUNTY STATE
I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS CONSENT FORM IS TRUE, CORRECT, AND COMPLETE. IF ANY INFORMATION PROVES TO BE INCORRECT OR INCOMPLETE, I UNDERSTAND THAT GROUNDS FOR CANCELING OF ANY AND ALL OFFERS OF EMPLOYMENT/VOLUNTEERISM WILL EXIST AND MAY BE USED AT THE DISCRETION OF THE CONGREGATION.
Signed this ___________________day of_______________, 20______
APPLICANT (PRINT NAME) ______________________________________________________________
APPLICANT'S SIGNATURE ______________________________________________________________
DISCLOSURE FORM
First Congregational Church
United Church of Christ
Branford, CT 06405
Employment/Authorized Volunteer Application and Disclosure Form
NAME: LAST FIRST MIDDLE
ADDRESS: STREET CITY STATE ZIP CODE
DAYTIME PHONE EVENING PHONE
My previous experience in the past five years (paid or volunteer) related to the ministry I am seeking to fill includes: (Attach additional page(s) as necessary.)
1.
AGENCY NAME
ADDRESS CITY STATE ZIP CODE
CONTACT PERSON PHONE
2.
AGENCY NAME
ADDRESS CITY STATE ZIP CODE
CONTACT PERSON
3.
AGENCY NAME
ADDRESS CITY STATE ZIP CODE
CONTACT PERSON
Name of church where I am currently a friend or member_____________________.
_ I have been a member of this church since .
_ I have been a friend of this church since .
I have never been found guilty, or pled guilty or no contest, to a criminal charge.
_ True _ Not true
If not true, give a short explanation of the lawsuit. (Please indicate the date, nature, and place of the incident leading to the lawsuit; where the lawsuit was filed; and the precise disposition of the lawsuit.)
No civil lawsuit alleging actual or attempted sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct has ever resulted in a judgment being entered against me, been settled out of court, or been dismissed because the statute of limitations has expired.
_ True _ Not true
If not true, give a short explanation of the charge. (Please indicate the date, nature, and place of the incident leading to the charge; where the charge was filed; and the precise disposition of the charge.)
I have never terminated my employment, professional credentials, or service in a volunteer position or had my employment, professional credentials, or authorization to hold a volunteer position terminated for reasons relating to allegations of actual or attempted sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct.
_ True _ Not true
If not true, give a short explanation. (Please indicate the date of termination; name, address, and telephone number of employer or volunteer supervisor; and nature of the incident(s) leading to your termination.)
Do you have a valid driver's license? _ Yes _ No
State where driver's license issued Driver's license number
With respect to my driving record, I have not had my license suspended or revoked within the last five years due to reckless driving or driving while intoxicated and/or under the influence of a controlled substance. _ True _ Not true
Is there any fact or circumstance involving you or your background that would call into question your being entrusted with the responsibilities of the position for which you are applying?
_ Yes _ No
If yes, please provide a brief explanation.
The covenants between persons seeking employment or sanctioned volunteer positions in the Church require honesty, integrity, and truthfulness for the health of the Church. To that end, I attest that the information set forth in this application is true and complete. I understand that any misrepresentation or omission may be grounds for rejection of consideration for, or termination of, the position I am seeking to fill. I acknowledge that it is my duty in a timely fashion to amend the responses and information I have provided if I come to know that the response or information was incorrect when given or, though accurate when given, the response or information is no longer accurate. Beginning such relationships with an open exchange of relevant information builds the foundation for a continuing and healthy covenant between employees or volunteers and the Church they seek to serve. To that end, I authorize First Congregational Church, United Church of Christ, Branford, CT, and/or its agents to make inquiries regarding all statements I have set forth above. I also authorize all entities, persons, former employers, supervisors, courts, law enforcement, and other public agencies to respond to inquiries concerning me, to supply verification of the statements I have made, and to comment on and state opinions regarding my background and character. To encourage such persons and entities to speak openly and responsibly, I hereby release them from all liability arising from their responses, comments, and statements made in good faith and without malice.
First Congregational Church, United Church of Christ, Branford, CT's hiring and authorized volunteer recruitment process involves the distribution of information regarding applicants with those persons in a position to recruit, secure, and supervise the position I am seeking to fill. To that end, I authorize First Congregational Church, United Church of Christ, Branford, CT and its agents to circulate, distribute, and otherwise share information gathered in connection with this application to such persons for these stated purposes. I understand that First Congregational Church, United Church of Christ, Branford, CT will share with me information it has gathered about me, if I request it to do so.
(SIGNATURE)
(PARENT'S OR GUARDIAN'S SIGNATURE FOR APPLICANTS UNDER 18)
___________________________________________
DATE
VOLUNTEER APPLICATION
First Congregational Church
United Church of Christ
Branford, CT 06405
Date:
Volunteer Position Requested:
Name:
Last First Middle
Address:
Street City State Zip
Phone Number: Cell/Beeper:
Email: Social Security #:
Are you a U.S. citizen? Yes No
Bilingual? Yes No Second language:
Do you have a valid driver's license? Yes No
Have you ever been convicted of a felony? Yes No If yes, please describe fully:
Briefly state your reason for volunteering
Religious Interest:
Church member? Yes No Name of pastor: __________________________
Education (optional):
Number of years attended: Elementary High School Graduation year
College (name), Degree, Graduation year
Other (name), Degree, Graduation year
Personal References:
Name Address Telephone Number
Name Address Telephone Number
Name Address Telephone Number
________________________________________________________________________
Volunteer Experience:
Organization
Contact Phone No.
Address
Dates: From To
Volunteer Position
Organization
Contact Phone No.
Address
Dates: From To
Volunteer Position
Organization
Contact Phone No.
Address
Dates: From To
Volunteer Position
Agreement:
I certify that the answers herein are true and complete to the best of my knowledge. I authorize the investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false and misleading information given in my application or interview(s)
may result in discharge. I understand, also that I am required to abide by all guidelines and procedures of the First Congregational Church, United Church of Christ, Branford, CT.
Signature of Volunteer Date
Rev. 7-5-06
First Congregational Church 1009 Main Street Branford, CT
203-488-7201