Children's Ministry Volunteer Application

Personal

Name

Phone

Address

This address will receive a confirmation email

Age Range

Under 18 18-25 Over 25

In which children/youth program(s) are you seeking to become involved?

Nursery/Preschool Kid's Church Youth Ministry

What other children/youth worker experience do you have? (Please list the following: The Program, Dates served, and Contact Person))

Have you at any time ever:

Been arrested for any reason?

Yes No

Been convicted of, or pleaded no contest to, any crime?

Yes No

Engaged in, or been accused of, any act of child molestation, exploitation, or abuse?

Yes No

Are you aware of:

Having any traits or tendencies that could pose any threat to children, youth, or others?

Yes No

Any reason why you should not work with children, youth, or others?

Yes No

If the answer to any of these questions is "yes," please explain in detail. If it is "no," write "n/a."

Church Activity

What church or churches have you attended in the past five years?

Church Name, Pastor's Name, and Years Attended

References (Employers/Former Organizations where you served)

Name/Relationship, Address, and Phone Number

Applicant Verification and Release

I recognize that Living Hope Church Inc. to which this application is being submitted, is relying on the accuracy of the information contained herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct.

I authorize Living Hope Church Inc. to contact any person or entity listed in this application, and I further authorize any such person or entity to provide Living Hope Church Inc. with information, opinions, and impressions relating to my background or qualifications.

I voluntarily release Living Hope Church Inc. any such person or entity listed herein from liability involving the communication of information relating to my background or qualifications. I further authorize Living Hope Church Inc. to conduct any criminal background investigation, if such a check is deemed necessary.

I have carefully read the policy and procedures of Living Hope Church Inc., and I agree to abide by them and to protect the health and safety of the children or youth at all times.

To run a background check, we will need your Date of Birth and Social Security Number. If you don't feel comfortable providing that information on this online form, please let us know and we can give you a call.

I would like a phone call to provide my information.

Phone

Date of Birth

Social Security Number

Signed Name

Today's Date

Children's Ministry Volunteer Application

Description

Please Fix the Following