Volunteer Certification Application

Volunteer Certification Application
Name

First Name Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Age
(PV reserves the privilege to certify youth based on their maturity level)
When did you receive Christ as your savior? blanks
Have you been baptized in water?blank
Have you been baptized in the Holy Spirit?
How long have you been attending PV?
Pleasant Valley believes strongly that everyone who is "Certified" should also be actively growing. Do you attend Wednesday evening service or Sunday service? (While we don't expect you to attend both, we ask that you attend at least one of them.)
List the name and city of all churches you regularly attended prior to attending PV.
What areas of ministry have you been involved in previously? (in this church or any other)
Are you a member of Pleasant Valley Church?
If you answered no to the above. Would you like information on becoming a member?
Personal References
Please make sure that all references you supply below meet the following criteria:

1. They can't be a family member

2. They must be 18 years old or older
List the name of someone that you know who attends Pleasant Valley   First Name   Last Name
List the name and complete address of two references who do not attend Pleasant Valley Church.
First Name   Last Name
Street Address   Address Line 2   City   State   Zip

First Name   Last Name
Street Address   Address Line 2   City   State   Zip
Application verification and release:
The information contained in this application is correct to the best of my knowledge. I authorize any reference or church listed in this application to release information they may have regarding my character and ability to serve at Pleasant Valley Church. I release all such references from liability for any damage that may result from supplying this information.

Applicant's Signature: Signature
Should be Empty:

Volunteer Certification Application

Personal References

Application verification and release: