Children's Ministry Volunteer Application Form

Name

This address will receive a confirmation email

Phone

Address

Marital Status

Married Single

If married, spouse's name:

Have you ever had or used a different name? If yes, please list all other names and dates during which you used those names.

How long have you been a member of Kenwood Baptist Church?

Please list all church memberships and dates of membership for the past 5 years. List church names and city/state of churches.

Please express your purpose in desiring to volunteer for children’s ministry at Kenwood Baptist Church.

Please list previous church and non-church work involving children. For each, include where, duration of work, and in what capacity you served. Also please describe any special training, education or other factors (including medical/musical) that would apply to your ministry to children.

Have you ever been convicted of a misdemeanor or felony? YES/NO If yes, please explain.

Has a civil or criminal complaint ever been filed against you that alleged sexual misconduct or child abuse by you or participation in or facilitation of such activities? YES/NO If yes, please explain.

Have you ever chosen not to renew or continue employment or volunteer service, had your employment or volunteer service terminated, or been subject to disciplinary action for reasons relating to allegations of sexual misconduct or child abuse by you? YES/NO If yes, please explain.

Please select all the times that you are able to serve:

Sunday mornings Wednesday evenings Special occasions

Please select all the areas that you are willing to serve:

Nursery Sunday School Children's Church

Personal References:

Please list 3 individuals (unrelated to you) from each of the following if possible:

1. A pastor or church leader from the church you most recently attended

2. A person with whom you have worked/served in the past who knows you well. (If you served in children’s ministry, please list someone who served with you in this context.)

3. A co-worker or friend unrelated to your church ministry who knows you well.

Reference #1:

R1 Name:

R1 Relation:

R1 Phone:

R1 Email:

Reference #2:

R2 Name:

R2 Relation:

R2 Phone:

R2 Email:

Reference #3:

R3 Name:

R3 Relation:

R3 Phone:

R3 Email:

Please read and sign below:

This information is true, correct, and complete. Any misstatement or omission of fact may result in the cessation of my volunteer services. I grant permission for Kenwood Baptist Church to check my references listed and release Kenwood Baptist Church from any and all resultant liability, claims, or lawsuits in regard to the information obtained. In addition, I submit to a criminal background check and online sex offender check.

Electronic Signature (Type your full name):

Description

Please fill out this form and click submit.

Children's Ministry Volunteer Application Form

Description

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