Children Ministry

Confidential Information - Read Carefully
This document contains confidential information that may be reviewed only by the senior pastor, members of the church board, or any person or committee either authorized by the church board or having authority to make personnel decisions. Unauthorized access or use is strictly forbidden.

Full Name *

Position

Date *

Welcome! Please take a moment to read some special information about volunteer service in our church.

First, thank you for considering volunteer service! Please know that your special gifts are appreciated! Coordinating the use of volunteers is a challenging, but rewarding task. Our congregation could not function without the support and commitment of volunteers. This form helps us to make the best use of our volunteers.

Thanks for taking just a few minutes to fill it out.

Part 1: Personal Information. All volunteers are asked to complete Part 1 of this form. We keep this information on file and use it to coordinate our use of volunteers.

Part 2: Will Not be listed in this form for the Children and Youth Ministry.

Part 3: For Volunteers Who Work With Children, Youth, Senior Citizens, the Developmentally Disabled, Or In A Counseling Position. All volunteers who work with children, youth, senior citizens, the developmentally disabled, or in a counseling position are asked to complete part 3 of this form.

If you have questions concerning any part of this form, please ask! Just contact the church office.
Again, thanks for your help and partnership!

PART 1: PERSONAL INFORMATION

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Birthdate (day and month only) *

How long have you attended this church (if less than one year please indicate number of months)? *

Are you a member of this church? * 🛈

No

Yes

If yes, please indicate how long you have been a member: ___ years ___ months *

In what capacity do you desire to offer your services as a volunteer within our church? *

PART 3: PROVIDING A SAFE ENVIRONMENT
— confidential —
Complete Part 3 if you will work with children, youth, senior citizens,
the developmentally disabled, or you will serve in a counseling position

1. Are you 18 years of age or older? *

Yes

No

2. Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you now under charges for any criminal offense? A criminal conviction will not necessarily disqualify you from consideration. *

Yes

No

3. List any additional training or experience you have had that qualifies you for the position you are seeking, including any professional license or certification. Use the next page to write any additional comments that you would like to make about your background. *

4A. List below two personal references within our church who are well acquainted with you. Do not list relatives. *

4B. List below two personal references within our church who are well acquainted with you. Do not list relatives. *

VOLUNTEER’S STATEMENT — READ CAREFULLY!

In consideration of the receipt and evaluation of this application by the church, I agree and represent that:

• The information contained in this application is correct to the best of my knowledge.
• I authorize any references, or any other person or organization, whether or not identified in this application, to give you any information (including opinions) regarding my character and fitness for volunteer service. I hereby release any individual, church, denominational agency or official, reference, or any other person or organization, including record custodians, both
collectively and individually, and whether or not identified in this application, 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, excepting only the communication of knowingly false information.

I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding release which I have read and understand. I understand that I may consult with an attorney before signing this document. A facsimile or photocopy of this authorization shall be as valid as the original. I further understand that a criminal records check may be conducted on me, and I consent to any such check.

I (check one of the following two options): any right that I may have to inspect any information provided about me by any person or organization described above. *

Waive

Do Not Waive

I have read and understand the above provisions, and agree to them. *

clear

VOLUNTEER INTERVIEW
— confidential —

Instructions: Clarify any questions of concern. The questions below can be used to assess the compatibility of the applicant with the church and the position available. Select those questions from each category that best suit your interviewing needs. Supplement these questions with your own questions based upon the specific needs and circumstances of your church.

1. What interests you most about this position?

2. What keeps you motivated?

3. What’s been your experience in this area so far?

4. What have you learned so far that will suit you well for this position?

5. What spiritual practices play an important role in your being in the Children Ministry?

ASSUMPTION OF RISK FORM
SHORT-TERM MISSIONS VOLUNTEER

! Note: This form is for use by adult members who participate on short-term missions trips to other countries. Because the church may not have insurance to cover injuries or accidents that occur on such trips, and it has no means of adequately supervising foreign activities, we ask members who participate on such trips to assume all risks associated with them as a condition of their participation.

1. I am a volunteer worker and not an employee of my church.

2. I am aware of the hazards and risks to my person and property associated with serving in a missions capacity, such hazards and risks including, but not being limited to, death or injury by accident, disease, war, terrorist acts, weather conditions, inadequate medical services and supplies, criminal activity, and random acts of violence. I accept my assignment with full awareness of these risks, and, subject to any insurance coverages that may be available to me from any source, and only with respect to my church and its agents, officers, directors, and employees, I voluntarily assume all risks of death, injury, and illness associated with such risks, and any damage to my personal property, and I release my said church and its agents, officers, directors, and employees from any liability whatever arising as a result of death, injury, or illness that I may suffer as a result of participation in the missions project. I further recognize that such risks have always been associated with missionary service. 2 Corinthians 11:23-28.

3. I attest and certify that I have no medical conditions that would prevent me from performing my duties.

4. I expressly waive any defense to the enforcement of any provision of this commitment arising from a claim of lack of consideration and warrant that this commitment constitutes a legal, valid, and binding obligation upon me enforceable against me in accordance with its terms.

5. I am aware of the hazards and risks to my person associated with participation in a short-term missions trip, as described above. I further understand that my church may not have any insurance coverage that would apply in the event of my death, illness, injury, or damage to my property that may occur during my participation on the trip, and that if I desire insurance coverage I am responsible for the cost of such insurance.

6. I expressly agree that this assumption of risk agreement is intended to be as broad and inclusive as permitted by law. I further state that I HAVE CAREFULLY READ THE FOREGOING ASSUMPTION OF RISK AND UNDERSTAND ITS CONTENTS, AND I VOLUNTARILY SIGN THIS RELEASE AS MY OWN FREE ACT. THIS IS A LEGAL DOCUMENT AND I UNDERSTAND THAT I HAVE THE OPPORTUNITY TO CONSULT WITH AN ATTORNEY BEFORE SIGNING IT.

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Signature:

clear

IMPORTANT: Please have 2 witnesses observe your signature, and have them sign below. They must be at least 18, and should not be relatives.

Witness 1:

clear

Witness 2:

clear

ANNUAL REVIEW OF
VOLUNTEER SERVICE FORM
- confidential -

Name:

I have reviewed my volunteer service form dated

that I completed and submitted to the church, and all of my responses remain accurate except as noted below:

Please indicate any changes in your application forms in the space below. Make as many entries as needed. If no changes have occurred, write "no change." Please sign and date each entry.

	Form	Signature	Date
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-	Form	Signature	Date
-	Form	Signature	Date
-	Form	Signature	Date
-	Form	Signature	Date
-	Form	Signature	Date
-	Form	Signature	Date
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-	Form	Signature	Date
-	Form	Signature	Date
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PERSONAL REFERENCE FORM
- confidential -

PART 1: TO BE COMPLETED BY APPLICANT

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

NAME OF PERSONAL REFERENCE

Please Enter As Many additional References as possible by clicking on the Plus "+" sign:

+-

PART 2: TO BE COMPLETED BY CHURCH REPRESENTATIVE

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

PART 3: TO BE COMPLETED BY PERSONAL REFERENCE:

Instructions:

The applicant listed above bas applied for the volunteer position of (position title) Children Ministry in our
church. In order to derermine the applicant's suitability for this position, we are asking that you take a few moments to complete and return this reference fonn to the church representative listed above. Please use an envelope marked Personal and Confidential. Your cooperation is greatly appreciated.

1. In what capacity do you know the applicant?

2. How long have you known the applicant?

3. On a scale of 1 to 10 (with 1 being a low rating and 10 being a high rating), please rate the applicant on each of the following characteristics. If you have insufficient knowledge to comment on a particular characteristic, please leave it blank.

	rating	Comments
ability to work well with others	rating	Comments
personal motivation and initiative	rating	Comments
dependability	rating	Comments
trustworthiness	rating	Comments
attitude	rating	Comments
pride in one's work	rating	Comments
personal follow-through	rating	Comments
religious commitment	rating	Comments

4. Are you aware of any facts demonstrating that the applicant's volunteer service should be restricted?

yes

no

If yes, please explain here:

5. Are you aware of any facts demonstrating that the applicant should not be considered by our church for the position described above?

Yes

No

If yes, please explain here:

6. Based on your knowledge of the applicant's character and background, which of the following best reflects your evaluation of the applicant's suitability for the position described above:

Please provide any additional comments concerning the suitability of this applicant for a position in our church below:

ANNUAL REVIEW OF
VOLUNTEER SERVICE FORM
- confidential -

Name:

I have reviewed my volunteer service form dated

that I completed and submitted to the church, and all of my responses remain accurate except as noted below:

	Please indicate any changes in your application forms in the space below.	date	initial
1.	Please indicate any changes in your application forms in the space below.	date	initial
2.	Please indicate any changes in your application forms in the space below.	date	initial
3.	Please indicate any changes in your application forms in the space below.	date	initial
4.	Please indicate any changes in your application forms in the space below.	date	initial
5.	Please indicate any changes in your application forms in the space below.	date	initial
6.	Please indicate any changes in your application forms in the space below.	date	initial
7.	Please indicate any changes in your application forms in the space below.	date	initial
8.	Please indicate any changes in your application forms in the space below.	date	initial
9.	Please indicate any changes in your application forms in the space below.	date	initial
10.	Please indicate any changes in your application forms in the space below.	date	initial

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