ADULT Volunteer Form

Full Name *

First Name Last Name

Birth Date *

Month Day Year

Marital Status

Gender

T-shirt Size *

Basic cotton unisex t-shirt

Cell Phone Number *

Home Phone Number

E-mail Address *

example@example.com

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Education

i.e. what are you studying?; what did you study?

Occupation, if applicable

i.e. what is your current job?; n/a if unemployed

Allergies or Dietary Restrictions *

Favourite Candy or Dessert *

Health Conditions and/or Medical Concerns, if applicable.

Hobbies, Interests or Skills *

I would like to serve in the following areas (check all that apply): *

SUNDAYS: Nursery (infants to 18 mos) SUNDAYS: Preschool (18 mos to 3 yrs) SUNDAYS: Kindergarten (JK/SK; 4-5 yrs) SUNDAYS: Elementary (Gr. 1-5; 6-10 yrs) SUNDAYS: Registration/Check-In SUNDAYS: Special Needs Ministry (assisting children with special needs) WEDNESDAYS: S.L.A.M. Midweek Program (JK to grade 5) WEEKDAYS: Admin Volunteer (lesson and activity prep during the week) WEEKDAYS: Sanitation Volunteer (cleaning and sanitizing during the week)

For those interested in serving in a classroom (Nursery, Preschool, Kindergarten, Elementary), what role would you like to have in the classroom? *

For those interested in serving on Sundays, how often are you willing to serve? *

The regular Sunday schedule will be once per month, but you can select how often you are able to serve.

Have you served in Kids Ministry at New Life previously?

Additional Comments

Are you willing to complete ministry training prior to serving children? *

Yes No I would like more information

How long have you attended New Life Assembly? *

Do you consider yourself a regular attender of New Life Assembly? *

Are you a member of New Life Assembly? (i.e. have you completed a membership course?) *

Did you regularly attend another church in the last 5 years? If so, which church and where is it? *

Please describe your testimony of becoming a Christian, your spiritual journey, and your current relationship with Jesus Christ. *

List any other New Life Assembly ministries in which you are involved, if applicable. *

Please list any present or previous experience you have with children, Children's Ministry, leadership or volunteering. *

List any gifts, talents, training, education or other abilities that would contribute to your service. *

What has prompted your interest in Children's Ministry? Why would you like to be involved in serving children at New Life Assembly? *

In order to provide a safe and secure environment for the children, youth and vulnerable adults within our ministries, we believe it is necessary to include the following questions as part of our application process.

PLEASE ANSWER THE FOLLOWING QUESTIONS HONESTLY. All information will be kept confidential by Church Leadership. Answering yes to any of the questions will not, necessarily, prevent you from serving in this ministry. Thank you in advance for your understanding and honesty.

1. Have you ever received treatment for or had any reason to think you may need treatment for an addiction to alcohol, drugs, gambling or pornography? *

Yes No

2. Have you ever been expelled, reprimanded, or disciplined in another way by a church, denomination or other religious organization? *

Yes No

3. Have you ever been the subject of any disciplinary action (including discharge) or investigation by a church, religious organization, or employer? *

Yes No

4. Have you ever been accused of impropriety toward children, youth or vulnerable adults (e.g. senior citizens or adults with disabilities)? *

Yes No

5. Have you ever been the subject of a lawsuit involving immoral conduct directed toward children, youth or vulnerable adults? *

Yes No

6. Have you ever been arrested or convicted for any abuse-related crimes? *

Yes No

7. Have you ever been convicted or found guilty of any criminal offence? (Note: this excludes minor traffic violations). *

Yes No

If you have answered yes to any of the above questions, please explain.

Do you agree to allow us to conduct a Police Records Check?

Yes No

1. Full Name *

First Name Last Name

Phone Number *

Please enter a valid phone number.

Email

example@example.com

Relationship *

Years Known *

2. Full Name *

First Name Last Name

Phone Number *

Please enter a valid phone number.

Email

example@example.com

Relationship *

Years Known *

I hereby agree that the information 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 of such from any liability for damages that may result from the release of such information.

I understand that the personal and confidential information given will be held confidential by the professional staff of New Life Assembly (NLA) and will only be released to those necessary in making a decision regarding this application (and to those as required by law).

Should my application be accepted, I agree to the following expectations:

I will make my best efforts to attend NLA on a regular basis (in person or online).
I will make my best efforts to attend all meetings, trainings and events for my ministry area.
I will arrive at least 15 minutes prior to my serving time in order to receive children into the program.
I will contact my Ministry Leader if I am not able to find a replacement first.
During my service, I will conduct myself in a manner consistent with the beliefs of NLA.
I understand that the staff of NLA are entitled to terminate my assistance should my character or morals be deemed to be inappropriate or criminal.
I will give reasonable notice if I am no longer able to serve in Children’s Ministry.

I HAVE CAREFULLY READ THIS APPLICATION AND RELEASE, AND KNOW THE CONTENTS THEREOF.

Please select the statement that applies: *

I agree with the statements above I disagree with the statements above

New Life Kids Ministry

Personal Information

Areas of Interest

Spiritual History

Ministry Experience

Confidential Information

References

Personal Agreement