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Department you want to serve in: Nursey, Kids or Youth
Enter your email
*
Full Name
*
Enter your full name.
Phone Number
Enter your phone number
Address
*
This is an optional description of the field.
Do you regularly Attend our worship service?
*
Yes
No
When did you start attending?
Are you currently serving in another church ministry? If so, Please list:
I have chosen to work with children because.
Have you personally and publicly accepted Jesus Christ as your Lord and Savior?
Yes
No
Are you committed to striving to display the charactor of Jesus though your life?
Yes
NO
Do you have any children of your own?
Yes
No
Ages of Children
Have you ever been treated for a psychiatric disorder?
Yes
NO
If yes, explain.
Have you ever been arrested, charged, or alleged to have, or have you ever committed any act of neglecting, abusing, or molesting a child?
Yes
NO
If yes, explain
This is an optional description of the field.
Have you ever been convicted of possession, use or sale of drugs within the last seven years?
Yes
NO
Within the past 30 days, have you abused alcohol, legal, or illegal drugs?
Yes
No
Is there any fact, circumstance, or pattern involving your background that would make it inappropriate for you to serve with minors or would compromise that integrity of the church?
Yes
NO
If so, explain.
Previous church work involving children (list church name, city, state, and type of work performed)
This is an optional description of the field.
Previous non-church work involving children (list each organization, city, state, and type of work performed)
The information contained in this application is correct to the best of my knowledge. I authorize any references, churches, or organizations listed in this application to give you any information (including opinions) that they have regarding my character and fitness for children's ministry/youth ministry. I authorize the release of information contained in this application to any individuals who make decisions about placing applicants in available positions. In consideration of the receipt and evaluation of this application by our church, I hereby release our church and any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages if whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.
Should my application be accepted, I agree to refrain from unscriptural conduct performance of my service on behalf of the church. I further state that I HAVE CAREFULLY READ THIS FOREGOING RELEASE AND KNOW THAT THE CONTENTS THEREFORE AND SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement that I have read and understand.
Applicant's Signature
*
By typing your name, you are providing your electronic signature and agreeing that it is the legal equivalent of your handwritten signature.
Date
*
please enter today's date
Submit
