Friendship Church Kid's and Student Ministry Volunteer Application

Date

Name

This address will receive a confirmation email

Cell Phone

Work/Home Phone

Address

Have you ever lived outside of the state of Michigan?

Yes No

Date of Birth

Do you regularly attend adult weekend services at Friendship Church?

Yes No

Select the area(s) you would like to serve:

Nursery Preschool-K 1st-3rd grade 4th-5th grade Middle School High School

Have you personally accepted Jesus Christ as your Lord and Savior and are you committed to having the character of Jesus live through you?

Yes No

References

List 2 references -- references should be: - 18 or older - people you've known for at least 3 years - not related to you - people who have a definitive knowledge of your character and ability to work with children or youth Examples: employers in work with minors, pastor or childrens leader at a previous church, etc.

REFERENCE #1

Name of reference #1:

Nature of association:

Length of time known:

Phone number:

REFERENCE #2

Name of reference #2:

Nature of association:

Length of time known:

Phone number:

Personal Disclosure Information:

Please select the appropriate response

Have you ever been treated for a psychiatric disorder?

Yes No

Have you ever been arrested, convicted, or pleaded guilty to a crime?

Yes No

If yes, explain:

Have you ever been accused, charged, or alleged to have, or have you ever committed any act of neglecting, abusing, or molesting any child?

Yes No

If yes, explain:

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?

Yes No

If yes, explain:

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches 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 to any ministry at Friendship Church in which I seek a volunteer position. In consideration of the receipt and evaluation of this application by Friendship Church, I hereby release 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 refrain from unscriptural 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.

By typing my name below, I certify that I have read the above information and I have understanding of and agreement with the above policies.

Full name:

Date:

If Applicant is under the age of 18, a parent or guardian must fill out this portion:

By typing my name below, I certify that I have read the above information and I have understanding of and agreement with the above policies in regard to the minor that filled it out. I also certify that I am the parent or legal guardian of this minor.

Parent/Legal Guardian's full name:

Friendship Church Kid's and Student Ministry Volunteer Application

Description

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