Old SGKids Application

Full Name*

First NameLast Name

Date of Birth

MonthDayYear

Gender*

MaleFemale

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number*

Cell Phone Carrier*

Email*

example@example.com

Name*

First NameLast Name

Phone Number*

Relationship*

How long have you attended SGC?*

Are you currently a member?*

YesNo

If not, are you interested in becoming a member?*

YesNo

Are you involved in a small group?*

YesNo

If not, are you interested in joining a small group?*

YesNo

Where are you on your faith journey?*

I'm a Christ followerI'm not sure

If you are a Christ follower, please explain the moment you recognized that you were a sinner and accepted Jesus as your personal Savior.*

Do you feel comfortable leading a child to Christ?*

YesNo

What have you been doing to grow closer in your relationship to Christ?*

Which ministry area (e.g. nursery/preschool/elementary/special needs) and service time interests you the most?*

Any special talents, abilities, skills, experiences, or "spiritual gifts" that may be helpful? (Juggling, walking on your hands, singing, etc. We want to know it all!)*

If it applies, please list previous experiences you have had working with children.

Personal History

Is there anything is your life, or has there been anything in the past, that could hinder your involvement in children's ministry (i.e. medical issues or concerns, use of illegal drugs, alcohol abuse, sexual activity, child abuse, homosexual lifestyle, etc.)?*

YesNo

If the answer is yes, please briefly describe:

Please list two adults (18 or older) you have known for at least one year, who are not related to you and have a definite knowledge of your character and ability to work with kids and students (e.g. pastor, close friend, teacher, and/or employer). Also, please let them know that we will be calling.

Reference 1*

Reference 2*

Sugar Grove Church (SGC) is committed to carrying out its mission while safeguarding children against emotional, physical, or sexual abuse. SGC does not permit actual or threatened acts of physical or mental abuse, sexual abuse, sexual molestation or sexual misconduct (“prohibited conduct”) to occur in the workplace, or at any activity sponsored by it. In order to make this “zero—tolerance” policy clear to all employees, volunteers and staff members, we have adopted mandatory procedures that employees, volunteers, individuals and victims must follow when they reasonably suspect, learn of, or witness prohibited conduct.

Reporting Procedure

Individuals who learn of or have a reasonable suspicion of prohibited conduct must immediately report it to the ministry team coordinator responsible for the department where the incident took place (or to pastoral staff if available). The ministry coordinator will then report to pastoral staff. Appropriate family members of the victim will be notified immediately by a pastoral staff representative of suspected child abuse.

Imminent Threat

In cases where an imminent threat of continued or actual abuse exists, reasonable and immediate steps should be taken to ensure the safety of the alleged victim.

Investigation & Follow Up

We take allegations of prohibited conduct seriously. Once the allegation is reported we will promptly, thoroughly and impartially initiate an investigation to determine whether there is a reasonable basis to believe that the prohibited conduct has occurred and that it was committed. The investigation may be undertaken by an internal team or we may hire an independent third party. We will cooperate fully with any investigation conducted by law enforcement or regulatory agencies. If there is reason to believe that a child is a victim of abuse, we are required to report to proper authorities. We reserve the right to place the subject of the investigation on an involuntary leave of absence of their responsibilities. To the fullest extent possible, but consistent with our legal obligation to report suspected and/or prohibited conduct to appropriate authorities, we will endeavor to keep the identity of the involved subjects and the alleged victims confidential. If the investigation substantiates the allegation, our policy provides for disciplinary penalties, including but not limited to termination of their relationship with our organization.

Retaliation Prohibited

We prohibit retaliation against anyone, including an employee, volunteer, board member, student or individual, who in good faith reports prohibited conduct. Retaliation against a participant in the investigation is also prohibited.

Anyone who retaliates against someone who has made a good faith allegation of prohibited conduct or intentionally provides false information to that effect will be subject to discipline, up to and including termination.

Are you 18 years of age or older?*

YesNo

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Social Security Number*

Date of Birth*

MonthDayYear

Gender*

MaleFemale

Current Email Address*

example@example.com

Signature*

Please select all that apply.

I confirm that I have a personal relationship with Jesus Christ.I commit to growing and maturing my relationship with Christ through Bible reading, prayer, and regular church attendance.I commit to a lifestyle that is both Godly and "above reproach," knowing that my lifestyle is a model for both children and parents.I recognize the importance of attending scheduled meetings related to servingI have read and am in complete agreement with the Sugar Grove Church Core Beliefs and Children's Ministry Handbook.I acknowledge that I have received and read Sugar Grove Church's Child Abuse Information and Policy. I understand that I am bound to follow the policy and understand the consequences in the event that I fail to do so.

Applicant Signature*

Parent/Guardian Signature

Please select your T-shirt size.*

Volunteer Application

Emergency Contact Information

About You:

Personal History and References

Child Abuse Information & Policy

Background Check Authorization

Volunteer Covenant

T-Shirt