Security Access Badge Request Epiphany Cathedral Church and School Please complete form for volunteer/employee security access badge. Volunteer or Employee Access(Required)VolunteerEmployeeRequest Type(Required)NewModified/RenewTerminationVolunteer access will automatically expire 1-year from date issued, unless otherwise noted.LAST name:(Required) FIRST Name:(Required) Ministry/Position:(Required) Email: Cell Phone:(Required) Home Phone: Address (Volunteers Only) City, State, Zip Access Requested to buildings: Parish Office Soy Building Cathedral Magi Hall Parish Center Other Select AllAccess Requested to buildings: School Office School Main Classroom Gymnasium Cafeteria Library Computer Lab Other Select AllIf OTHER checked, list location access requested I confirm that acting as an employee or volunteer for Epiphany Cathedral Parish I will keep in strictest confidence all information to which I have access in a manner above reproach in every aspect. I understand the access granted to me requires the highest degree of trust and understanding and sharing my access rites with another individual will result in the loss of this privilege. Untitled(Required) I Agree to the above disclosure statement
