What is your Facebook Page? (Or, what needs to be typed into "Search" to find you on Facebook?) *
Your answer
What is your Instagram Page? (Or, what needs to be typed into "Search" to find you on Instagram?) *
Your answer
Address
Your answer
Have you personally and publicly accepted Jesus Christ as your Lord and Savior, and are you committed to following Jesus for the rest of your life? *
Your answer
Have you been baptized? If yes, what was the approximate date? *
Your answer
Do you regularly attend worship services at Real Life Texas? (If yes, approximately when did you start attending?) *
Your answer
The main reason I want to work with kids or youth is ... *
Your answer
Previous church work involving children (list church name, city, state, and type of work performed) *
Your answer
Previous non-church work involving children (list each organization name, city, state, and type of work performed) *
Your answer
Do you have your own children? (If yes, please list ages) *
Your answer
Have you ever been treated for a psychiatric disorder? (If yes, please explain) *
Your answer
Have you ever been arrested, convicted, or plead guilty to a crime? (If yes, please explain) *
Your answer
Have you ever been accused, charged, or alleged to have, or have you ever committed any act of neglecting, abusing, or molesting any child? (If yes, please explain) *
Your answer
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? (If yes, please explain) *
Your answer
Have you ever been convicted of the possession, use, or sale of drugs within the last 7 years? (If yes, please explain) *
Your answer
Has your driver’s license been suspended or revoked within the last 12 months? (If yes, please explain) *
Your answer
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? (If yes, please explain) *