GPCA Volunteer Application
Sign in to Google to save your progress. Learn more
First Name *
Middle Name *
Last Name *
Street Address *
City *
State *
Zip *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
SSN # *
*NOTE: If Applicant is a MINOR enter 000-00-0000 for SSN
Driver's License
Required if You will be Volunteering in any position requiring you to drive
State of Issue of Driver's License
Previous Address
(if less than 3 years at address above)
City
State
Zip
Do you know that you are a born again child of God? *
Which Staff Member or Ministry Director Invited You to Submit this Volunteer Application? *
Are you a member of a Bible-Believing Church? *
Which Church?
How long have you been a member?
Do you currently serve in any position in your church?
Please describe your ministry service activities in your church
As a volunteer, will you promise to stay under the authority of the GPCA staff member assigned? *
Will you willingly adhere to the dress code for staff while volunteering for GPCA? *
Is there any MORAL or LEGAL reason why you should not teach or work with children or teens? *
Do you consent to a criminal background check? *
(NOTE: If applicant is under 18 years old, please select MINOR.)
Parent's First & Last Name
If applicant is a MINOR, please complete this section.  Otherwise, please skip this question.
Parent's Phone Number
If applicant is a MINOR, please answer this question.  Otherwise, please skip this question.
Parent, is there any LEGAL or MORAL reason why your MINOR child should not work with children?
If applicant is a MINOR, please complete this section.  Otherwise, please skip this question.
Are there any particular areas of service you are interested in volunteering for?
Select all that apply
Clear selection
Authorization / Statement of Consent *
The information contained in this ministry volunteer application is correct to the best of my knowledge.  I hereby authorize Greater Portland Baptist Church / Greater Portland Christian Academy and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes.  I understand that the scope of the report may include, but is not limited to the following areas:  verification of social security number, credit reports, current and previous residences, employment history, education background, character references, drug testing, civil and criminal history records, birth records, and my other public records.  I understand that additional reports may be conducted at any time in the future while my employment and/or volunteer activities continue with this organization or its agents.  I further authorize any individual company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Greater Portland Baptist Church / Greater Portland Christian Academy or its agents.  I further authorize the complete release of any records or data pertaining to me which the individual , company, firm, corporation, or public agency may have, to in include information or data received from other sources.  Greater Portland Baptist Church / Greater Portland Christian Academy and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information, including, but not limited to, addresses, social security numbers, and dates of birth.    By clicking the "yes" button and submitting this form, I am giving my consent to the authorization described herein.
Email Address *
Email address is used as an additional identifier.  If you do not have an email address, you may quickly and easily create one at www.gmail.com, www.yahoo.com or www.hotmail.com.
Date and Time of Application *
MM
/
DD
/
YYYY
Time
:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Greater Portland Baptist Church. Report Abuse
Google Forms