Volunteer Form

Age group(s) you are applying to serve with (check all that apply):(Required)
I am interested and willing to serve in serve in the following ways (check all that apply):(Required)

General Information

Name(Required)
Address(Required)
MM slash DD slash YYYY
Do you regularly attend our worship services?(Required)

Ministry Information

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)

Personal Disclosure Information

1. Do you have children of your own?(Required)
2. Have you ever been treated for a psychiatric disorder?(Required)
3. Have you ever been arrested, convicted, or plead guilty to a crime?(Required)
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)
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)
6. Have you ever been convicted of the possession, use, or sale of drugs within the last 7 years?(Required)
7. Within the past 30 days have you abused alcohol, legal or illegal drugs?(Required)
8. Has your driver’s license been suspended or revoked within the last 12 months?(Required)
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)

Church History and Prior Children’s Work

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:
2. Employer or Fellow Employee:
3. Social Friend or Neighbor:

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.
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