Ministry Volunteer Application Form

(Information Received Is Strictly Confidential)

Name

Gender

Male Female

Address

Phone

This address will receive a confirmation email

Drivers License (Youth Leaders Only)

Date of Birth

Marital Status

Single Engaged Married

Occupation and/or Employer

Hobbies, Interests or Skills

Courses or Certifications (ie. First Aid, Nursing..etc)

LIFESTYLE

In order to provide a safe and secure environment for our children, we believe it is necessary to include the following questions as part of our application process. All information will be kept strictly confidential. (Police may access this information under warrant, if requested.) Answering “yes” to any of the questions may not necessarily preclude your involvement in ministry. A meeting will be arranged with a Pastor so that you may discuss the circumstances. Thank you in advance for your understanding.

If any of the following circumstances apply to you, please check any that apply: Have been convicted of a criminal offense involving children. Have been convicted of a sexually related crime. Have been convicted of an abuse related crime. Have been hospitalized or treated for alcohol or substance abuse.

Do you have any physical conditions that would prevent you from performing certain types of activities (lifting children, playing sports)? If so, explain:

REFERENCES

Please provide the names of three (3) individuals, excluding relatives, who could provide a reference for you. If you are a minor, you may use the name of a parent and/or teacher. If possible, include at least one reference from outside the church.

1. Name

1. Phone

1. Address

2. Name

2. Phone

2. Address

3. Name

3. Phone

3. Address

APPLICANT'S STATEMENT

By submitting this application form, I hereby acknowledge that the information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give New Hope Church any information they may have regarding my character and fitness for children’s/youth ministry, and I release all such references from liability for any damage that may result from furnishing such evaluations.
I also grant my permission for New Hope Church to perform a personal Criminal Record Check for the purpose of my protection against any false allegations and for the protection of those I serve. I consent to such an investigation with the understanding that the results will be kept in extreme confidentiality.
I further agree to adhere to the Child Protection policy as adopted by New Hope Church.

Name of Applicant

Date of Submission

Description

This form is to be completed by an applicant for any volunteer position within the New Hope Church involving the supervision or custody of minors or the developmentally disabled, and for any paid staff member, regardless of his/her job responsibilities. It is being used to help church leaders provide a secure environment for those children, youth and developmentally disabled persons who participate in our programs and use our facilities.

Ministry Volunteer Application Form

Description

Please Fix the Following