Telephone Friend Application form

 

In completing this form, you agree that Warrington West Church can hold these details for you for the purposes of the Telephone Befriending Scheme.

Name of Church: West Warrington Church 

Application for the post of: Telephone Friend

Full Name

 

 

Date of birth

Former Name

 

 

 

Home address

 

 

 

 

Postcode

Telephone

Day

 

Evening

How long have you lived at the above address?

 

If less than 12 months

 

Previous address

 

 

 

 

Postcode

 

How long there?

 

Church attending

 

Name of Minister

Relevant Training/Experience

 

 

ONLY supply referee details if you have not already been safely recruited for a role within one of West Warrington Churches.

 

Please provide two references one of which must be from current employer or previous church

 

Referees

 

Name

 

Address

 

Postcode                                 Tel:

 

Name

 

Address

 

Postcode                                 Tel:

 

Name

 

Address

 

Postcode                                 Tel:

 

Name

 

Address

 

Postcode                                 Tel:

Signed

 

Print name

Date