Volunteer - Filling Station "Kids Serve" Application

This application is to be completed by all applicants for any position involving the supervision of minors. This form is being used to help the church provide a safe and secure environment for those children and youth who participate in our programs and use our facilities.

Because our "Kids Serve" team involves helping lead during kids church services, you will be an example/influence to other kids who are attending the service. We want each member of our team to be of good character and good attitude as they serve each week.

Your name *

Email address *

GENERAL INFORMATION

Phone Number *

Address *

Name of Child Applying for Kid Serve Team *

Who is filling out this form *

Parent/Guardian Information *

Please give name of parents/guardians. If address is different than above, please include.

REFERENCES

List 3 adults you've known for at least 6 months who are not related to you and have a definite knowledge of your character and ability to work with children and volunteer.

Reference #1 Name: *

Nature of Association:

Email *

Phone Number: *

Please indicate home, mobile or work

Reference #2 Name: *

Nature of Association:

Email: *

Phone Number: *

Please indicate home, moble, or work

Reference #3 Name: *

Nature of Association

Email: *

Phone Number: *

Please indicate home, mobile, or work

MOTIVATION

Why do you want to join the Kids Serve team? *

PERSONAL

When did you become a Born Again Christian/Ask Jesus into your heart? *

Is there any behavior in your life that you think would be a bad example to the younger children and thus inappropriate for you to work with them? *

Yes

If yes to above question, please explain:

PRIOR CHILDREN WORK

Are you a faithful participant of Berean Church? *

Yes

List any experience that you have had working with younger children either in a church or outside of the church: *

APPLICANT'S CONDUCT STATEMENT

Should my application be accepted, I agree to refrain from unscriptural conduct in the performance of my services on behalf of the church. Further, I agree to be bound by the beliefs and policies of Berean Church.

APPLICANT'S STATEMENT

By checking the box below, I am stating that the information contained in this application is correct to the best of my knowledge.

APPLICANT'S RELEASE

I authorize any references or churches listed in this application to give you any information (including opinions) that they have regarding my character and fitness for working with children.

APPLICANT'S SIGNATURE

Choosing this box is the equivalent of your signature.

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