Volunteer Application

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The Church In Caronport - Children's Ministry

Email *

Date *

YYYY

In our desire to reduce the risk of abuse within our church ministries, we believe this information is necessary to protect our children and our volunteers and to effectively place our volunteers in ministry positions. Thank you in advance for your partnership.

PERSONAL INFORMATION:

Section 1 of 7

First Name *

Last Name *

I am a: *

Community Resident

Community Resident College Student

Dorm Resident College Student

Community High School Student

Dorm Resident High School Student (Please note: If you are under 18 there is a different form for you to fill out.)

Phone Number

Date of Birth *

YYYY

Address *

PERSONAL HISTORY:

Section 2 of 7

Please list your employment within the last 5 years... *

What are your hobbies/interests/skills? *

I would prefer to serve in the following areas (Check All That Apply): *

Kid's Church Preschool (Age 4)- Grade 1

Kid's Church Grades 2 - 4

Kid's Church Grades 5-6

Hall Monitor during Sunday main service

AWANA

Moms and Tots

Summer VBS

Youth (Thursday nights)

Youth Sunday School

Other:

Required

SPIRITUAL HISTORY:

Section 3 of 7

How long have you attended the Church In Caronport? *

Do you attend regularly? (Two or more times per month) *

Yes

Briefly describe your relationship with Jesus Christ. When did you accept Christ as your Saviour? *

List any gifts, training, education, or other qualifications that have prepared you to minister with children: *

MINISTRY INFORMATION AND EXPERIENCE:

Section 4 of 7

Please list the churches that you have attended in the past five years:

Church Name, City/Province, and Length Attended: *

Please list your past and present ministry experience:

Church/Organization Name, Description of Ministry, Pastor/Supervisor, Length of Time in Ministry: *

Please choose one:

I consider The Church In Caronport my home church.

The Church In Caronport is (or will be) my home church during my time as a student.

Other:

Clear selection

Due to the uniqueness of our location and our transient community, it is helpful for us to know which following circumstances apply to you, no matter your status: *

I plan on being in Caronport this Summer

I will not be Caronport in this Summer but will be returning in the Fall

I will not be in Caronport this Summer and will not be returning in the Fall

I am uncertain if I will be in Caronport this Summer

Other:

Required

INFORMATION ABOUT YOUR ABILITY TO WORK WITH CHILDREN:

Section 5 of 7

In order to provide a safe and secure environment for our Church’s children and youth, we believe it is necessary to include the following questions as part of our application process. All information will be kept confidential by church leadership and the Plan to Protect® team and will not be disclosed by the church unless required by law. Answering yes to any of the questions may not necessarily prevent you from volunteering with the church. Thank you in advance for your understanding.

1. Are there any circumstances involving your lifestyle or history that could call into question your ability to work safely with children in a Christian environment? (e.g. pornography, use of illegal substances, etc.) *

Yes

2. Have you ever been convicted or found guilty of a criminal offence for which a pardon has not been granted? (Note: this does not include minor traffic violations) *

Yes

* If the answer to question 2 is yes, please list the offense(s) and date(s) of conviction:

3. Have you ever been expelled from or had your employment terminated by any organization or employer for assault or violence against any person, or for assault, violence or impropriety with children, youth or vulnerable persons? (e.g. senior citizens or persons with disabilities) *

Yes

4. Have you been investigated by the Child Welfare Agency or any other organization for suspected child abuse? *

Yes

5. Have you ever been a defendant or respondent in a civil lawsuit or human rights complaint or other legal proceedings in which you were alleged to have abused or engaged in violence, harassment or other immoral or illegal behaviour or conduct involving children, youth or vulnerable persons? *

Yes

6. Do you have any health concerns which would impact your ability to perform the functions of the volunteer position for which you are applying? (Please note that such health concerns may not prevent you from holding the position for which you have applied) *

Yes

7. Do you have any contagious diseases or conditions of which we should be aware, and which we may need to take steps to protect against transmission should you volunteer at the Church? *

Yes

REFERENCES:

Section 6 of 7

Please provide the names of three individuals, excluding relatives, who could provide a reference for you. Include at least one reference from previous volunteer position with children or youth if able (eg. youth pastor/children's pastor)

Please note that references must be 18 years of age or older and must have known you for longer than 2 years:

Reference #1 *

Please include first and last name, phone number, and length of time known.

Reference #2 *

Please include first and last name, phone number, and length of time known (minimum 2 years).

Reference #3 *

Please include first and last name, phone number, and length of time known (minimum 2 years)

RELEASE OF INFORMATION AND DECLARATION OF INTENT:

Section 7 of 7

I hereby give the church consent to verify the information provided by me in this Ministry Personnel Application Form and to contact the references and current and former employers listed above and to obtain and verify any information from them (and any other persons that the Church determines might be able to provide relevant information) that may be relevant to my application. I further grant the church permission to perform an internet search on me and to review and consider any information found by me on the Internet. I understand that if the church approves my volunteer application and later determines, in its discretion, at any time that I am not suitable for volunteer service in the church or for the volunteer position for which I am applying, the church may terminate my volunteer service or volunteer position for any reason without advance notice. If the church approves my application for a volunteer position, I will sign any documents that the church requires and will at all times cooperate fully with the staff of the church in the fulfillment of my duties and will keep all confidential information I encounter in my role as a volunteer, confidential. If at any time I determine that for any reason I am unable to support or adhere to or follow the policies, procedures or doctrine of the church, I will inform the church and will resign my volunteer position. I hereby acknowledge that, to the best of my knowledge, the information contained in this Ministry Personnel Application Form is true and correct.

I agree with the above statement: *

I agree

I do not agree (Please note if you choose this option we can not move forward with your application)

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