PDF Youth Application To Work With Minors

Youth Application To Work With Minors

This application is to be completed by a minor desiring to work with/supervise minors. This is not an employment application. It is used to help the church provide a safe and secure environment for our children. All information will be kept secure and confidential. Please fill in all blanks. This form will be returned to applicant if submitted incomplete.

Name:________________________________________________________ Date:_____________________

Last

First

Address:________________________________________________________________________________

Street

City

State

Zip

Home Phone: ( )

Parent Work Phone: ( )

Cell Phone: ( )

Email:

Date of Birth (include year):

Gender:

! M! F

School:

Current Grade:

Briefly describe your relationship with Jesus Christ:

Approx. DATE you began attending Sunday services at Heritage on a regular basis (at least 3 out of 4 Sundays/month)? ________________ (month and year) Are you currently attending youth group at Heritage? !Yes !No List other churches you have attended: List any previous church work, training, education, etc. involving children or youth:

Why do you desire to work in children's/youth ministry?

How do you desire to be used in this ministry? What are some of the specific gifts or talents that you will be able to add to the team?

Rev. 1/19/05, 7/13, 4/15, 1/18

Office Use Only: ! Approved _______________

Date _________________________ By

CONTINUED ON BACK

HERITAGE CHRISTIAN FELLOWSHIP REFERENCES (not family)

1. Name

2. Name

Phone Number __________________________ Phone Number ______________________________

Relationship

Relationship

The questions listed below are part of our interview process to help provide a safe and secure environment for our children and youth. All information will be held in strict confidence. Answering yes to any of these questions may not necessarily preclude your involvement in Children's/Youth Ministries. Should you answer yes to any of the following

questions, please explain on a separate sheet of paper. Thank you for your understanding.

Have you had any painful experiences in your life that have better equipped you or may hinder you from a productive ministry with children/youth? !Yes !No If yes, would you like to meet with a pastor regarding this circumstance? !Yes !No

Have you ever been hospitalized or treated for alcohol or substance abuse?

!Yes !No

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 may not necessarily disqualify you

from consideration for involvement.

!Yes !No

Is there anything in your lifestyle or background that would call into question your suitability to work with

children/youth?

!Yes !No

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references, churches or other organizations listed in this application to give you any information they may have regarding my character and fitness for working with children, and I release all such references from liability for any damage that may result for

furnishing such evaluations to Heritage Christian Fellowship.

I understand that my personal information will be treated as confidential. _______ (initial)

Heritage Christian Fellowship Volunteer's Covenant

Having committed to serving in the Children's/Youth Ministries and the habits essential for spiritual maturity, I commit to:

1. Prepare for ministry by maintaining my personal relationship with Christ. 2. Support the teaching ministry by praying for the church, other teachers, and specifically the children/youth in

my class. 3. Cooperate with other ministries and place the greater good of the whole body over the needs of my ministry. 4. Personal growth and education by participating in training opportunities.

Should my application be accepted, I agree to follow the policies of Heritage Christian Fellowship and to refrain from unbiblical conduct in the performance of my services on behalf of the church.

Applicant's Signature__________________________________________ Date___________________

Parental Permission: By signing below, I give permission for my child to work with the children/youth of Heritage Christian Fellowship according to the requirements outlined in this application.

Parent's Signature_____________________________________________ Date ____________________

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