If accepted as a volunteer, you will be required to follow all procedures established in the YFCCV Safety Standards document, especially those pertaining to driving youth.
Have you previously been employed by YFCCV or volunteered in a YFCCV program? Yes No If yes, when and where? When Where
Have you previously applied to a YFCCV program? Yes No If yes, when and where? When Where
Do you have experience in another Christian ministry? Yes No If yes, when and where? When Where
High School or GED Name of school Grade Completed Grade completed
University/College Name of school Major field of StudyField of study Graduated? Yes No
Technical/Vocational Name of school Field of StudyField of study Graduated? Yes No
Graduate/Seminary Name of schoolMajor field of StudyField of study Graduated? Yes No
Give information as completely as possible, listing your current position first. Include employed/self-employed periods, part-time, volunteer work and periods of unemployment.
Company Company Name* Phone Number Area Code* Phone Number* Position Position* Supervisor Name First Name* Last Name* Dates of Employment Start Date* to End Date* Summary of Duties Duties* Reason for Leaving Reason for leaving* May we contact this employer for a reference Yes No*
Company Company Name Phone Number Area Code Phone Number Position Position Supervisor Name First Name Last Name Dates of Employment Start Date to End Date Summary of Duties Duties Reason for Leaving Reason for leaving May we contact this employer for a reference Yes No
Please list three persons, not related to you, who are qualified to evaluate your capabilities and character. One of the references must be your pastor or a leader within your local church.
Name First Name* Last Name* Relationship Relationship* Email Email* Phone Number Area Code* Phone Number*
Do you attend church regularly? What church do you attend? Name of Church Street Address City State Zip Are you a member? Yes No
All of our staff and volunteers must affirm our Statement of Faith as follows:
Date Date* Name First Name* Last Name* Signature Signature*
I certify that the statements I have made are true and correct.
I understand that if accepted as a volunteer, I will be required to abide by all of YFCCV's policies, standards or regulations as established from time to time.
I authorize YFCCV to investigate any information in this application, and I gree to cooperate in such investigations. I further recognize and agree that, as a condition of acceptance as a volunteer, I consent to criminal, financial and moter vehicle background checks from federal, state and local agencies.
I hereby release YFCCV and all persons supplying information to YFCCV from all liability, claims for damages, or responsibility whatsoever with respect to information supplied. I further authorize my current employer and references to speak freely to YFCCV representatives and provide whatever information is required.
Name First Name* Last Name* Signature Signature* Date Date*
Please read and sign this form in the space provided. Your written authorization is necessary for completion of the application process.I, First & Last Name* , hereby authorize Youth for Christ Central Valley to investigate my background and qualifications for the purposes of evaluating whether I am qualified for the position I am applying for. I understand that Youth for Christ Central Valley will utilize an outside firm or firms to assist them in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done and my application will not be processed further. SignatureSignature* DateDate* Full Name First Name* Middle Name* Last Name* Address Street Address* City* State Zip* Date of BirthBirth Date* Drivers License # Drivers License #* Social Security #Social Security #*