Standing Form

I am

I have attended an Anti-Racism workshop?

Yes
No

I have reviewed and will adhere to the Ministerial Code of Ethics.

Yes
No

I am willing to be a faithful minister serving within and supportive of the Christian Church (Disciples of Christ).

Yes
No

Have you ever been charged with or convicted of a felony?

Yes
No

Have you ever been charged with or convicted of any crime against children or other persons?

Yes
No

Is there any other fact or circumstance in your background that should prevent you from being entrusted with the supervision, guidance and care of children or youth?

Yes
No

Kansas Standing Application

Continuing Education

Personal Disclosure Statement