Youth Volunteer Signup

First Name

Last Name

Maiden Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Gender

Birthdate

Marital Status

Email

Phone Number

Best Day/Time to reach you by phone?

Occupation

Driver's License

Spiritual Walk & Background Questions:

How long have you attended our church?

When did you first start to follow Jesus?

Are you currently a member?

Yes

No

Have you been baptized?

Yes

No

Describe any other past ministries you've been a part of?

Do you have your CPR certification?

Yes

No

Why would you like to serve in this ministry?

List any talents, vocations, preparation, training or other experiences that have equipped you to work with children or students:

Social Media:

Instagram:

Facebook Name:

TikTok:

Lifestyle & Legalities

Are you currently, or have you ever, used illegal drugs?

Yes

No

Have you ever gone through treatment for alcohol or drug abuse?

Yes

No

Have you ever been accused of, arrested, or convicted of a crime?

Yes

No

Have you ever participated in, been accused of, been convicted of, or pleaded guilty or no contest to any abuse or sexual misconduct?

Yes

No

Are you committed to honoring God with your relationships, sexuality, drugs, alcohol, and lifestyle choices that are called for in the scriptures.

Yes

No

I authorize the church to contact all individuals and organization listed on this application form
to verify the information I have provided. I specifically authorize the church to undertake a
criminal background check concerning my past. I understand and agree that any information
received from the background check and application verification will not be disclosed to me
except as required by law, and I hereby waive any right I may have to inspect any information
provided about me by any person or organization identified by me on this form. By signing this
form, I certify and affirm that the information I have given on this form is true,

Signature