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PCC Kids 'Get to Know You' Form

We are so excited that you are interested in volunteering in PCC Kids!

To help us best serve you, please complete the form below. This form is for all volunteers involved in the supervision and teaching of minors in PCC Kids. Information will be treated as confidential and is needed to help us provide a safe environment for children.

***Please note, completing this form may take you 15-20 minutes. Also, the form concludes with a request for 3 references that have known you for at least 2 years. Please have these references ready prior to completing this form. References should not be relatives (if you are under the age of 18, you may use a parent and/or teacher). If possible, please include at least one reference from someone at PCC.

PCC Apprentice Interest Form/LiT (Leader in Training)

Name(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Please enter a number from 0 to 100.
Address(Required)
Check the best way to contact you(Required)
In which group are you interested in?(Required)
Which campus do you primarily attend?(Required)
If Powhatan, which service?
If Midlothian, which service?
Parent or guardian name(Required)
Best form of contact(Required)
Are you as a parent willing to assist your child in this process and observe their training sessession?(Required)

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