Contact
Ministries
Celebrate Recovery
Children’s Ministry
Community Groups
Women of the Word (WOW) Bible Study
Youth Ministry
Mom Connection (MOMCO)
Other Ministries
Watch
About Us
FAQ’s
Who We Are
What We Believe
Leadership Team
Giving
More
Building Use Form
Events Happening at VanChurch
Contact
Ministries
Celebrate Recovery
Children’s Ministry
Community Groups
Women of the Word (WOW) Bible Study
Youth Ministry
Mom Connection (MOMCO)
Other Ministries
Watch
About Us
FAQ’s
Who We Are
What We Believe
Leadership Team
Giving
More
Building Use Form
Events Happening at VanChurch
Join Us Sunday
Volunteer Form
Age group(s) you are applying to serve with (check all that apply):
(Required)
Nursery
Preschool
Elementary
I am interested and willing to serve in serve in the following ways (check all that apply):
(Required)
Teach a Lesson
Lead Children’s Songs
Assist with Crafts
Be a Helper in a Class
Assist with Check-In
Prepare Materials
General Information
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Email
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Do you regularly attend our worship services?
(Required)
Yes
No
If yes, when did you start attending? (approx. date)
Ministry Information
Are you currently serving in another church Ministry? If so, please list:
I have chosen to work with children at our church because…
(Required)
Have you personally and publicly accepted Jesus Christ as your Lord and Savior and are you committed to striving to display the character of Jesus through your life?
(Required)
Yes
No
Personal Disclosure Information
1. Do you have children of your own?
(Required)
Yes
No
Ages:
2. Have you ever been treated for a psychiatric disorder?
(Required)
Yes
No
3. Have you ever been arrested, convicted, or plead guilty to a crime?
(Required)
Yes
No
If yes, explain:
4. Have you ever been accused, charged, or alleged to have, or have you ever committed any act of neglecting, abusing, or molesting any child?
(Required)
Yes
No
5. Have you ever been concerned that you may have an addiction to drugs, alcohol, pornography or any other addiction; or has anyone ever suggested that you may have a problem with any of the above?
(Required)
Yes
No
6. Have you ever been convicted of the possession, use, or sale of drugs within the last 7 years?
(Required)
Yes
No
7. Within the past 30 days have you abused alcohol, legal or illegal drugs?
(Required)
Yes
No
8. Has your driver’s license been suspended or revoked within the last 12 months?
(Required)
Yes
No
9. Is there any fact, circumstance, or pattern involving your background that would make it inappropriate for you to serve with minors or would compromise the integrity of the church?
(Required)
Yes
No
If yes, please explain:
Church History and Prior Children’s Work
Previous church work involving children (list church name, city, state, and type of work performed)
(Required)
Previous non-church work involving children (list each organization name, city, state, and type of work performed)
(Required)
References:
List 3 adults you have known for at least 2 years, who are not related to you, who have specific knowledge of your character and ability to work with children and who fit the classifications set forth below.
1. Our Church (or previous church) member or staff person:
Name
(Required)
Nature of Association
(Required)
Length of Time Known
(Required)
Phone
(Required)
2. Employer or Fellow Employee:
Name
(Required)
Nature of Association
(Required)
Length of Time Known
(Required)
Phone
(Required)
3. Social Friend or Neighbor:
Name
(Required)
Nature of Association
(Required)
Length of Time Known
(Required)
Phone
(Required)
Volunteer’s Statement
The information contained in this application form 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. I authorize the release of the information contained in this application form to any individuals who make decisions about placing applicants in available positions. In consideration of the receipt and evaluation of this application by Vancouver Church of Christ (VanChurch), I hereby release Vancouver Church of Christ (VanChurch) 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 of 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 exhibit Christ-like conduct in the performance of my services on behalf of the church.
I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement that I have read and understand.
Signature
(Required)
This field is hidden when viewing the form
Submission Source
This field is hidden when viewing the form
Submission Medium
This field is hidden when viewing the form
Submission Campaign
Δ