Volunteer Application Form
If you are interested in serving as an adult volunteer, please fill this out and submit it!
BASIC INFORMATION
Name
*
First Name
Last Name
Email Address
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
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###
###-###
Texting OK?
*
Yes
No
Occupation
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Let us know WHO you work for, WHAT your position is and HOW LONG you have been there.
How long have you been attending Lakeshore Community Church?
*
Which of the following describes your relationship to Lakeshore Community Church?
*
Please Select
Member
Attendee
Attendee actively pursuing membership
Are you actively a part of a small group
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Yes
No
In an ideal world, which age group would you prefer to work with?
*
Please Select
Middle School (6th-8th grade) - Sunday morning @ 10:45am-12:30pm
High School (9th-12th grade) - Wednesday night @ 6:00pm-9:00pm
Either
FAMILY INFORMATION
Marital Status
*
Single
Engaged
Married
Separated
Divorced
If married, what is your spouse's name?
If married, please provide your Anniversary date?
/
Month
/
Day
Year
Date Picker Icon
If you have children, what are their names and ages?
EDUCATION HISTORY
Please describe your education history
Let us know WHERE you went to school, WHEN you graduated and WHAT you studied, starting with High School and including anything that is relevant.
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Let us know WHAT CHURCH you served with, WHAT ROLE you fulfilled, and HOW LONG you carried out that role.
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What did you like and dislike about that ministry experience?
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SPIRITUAL LIFE
When and how did you become a Christ-Follower? - Describe your testimony.
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What have you been doing to grow spiritually in the last year?
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How would you describe the ideal Youth Ministry volunteer?
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What makes you excited about volunteering for our Youth Ministry?
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What was your Student Ministry experience like in High School?
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What qualities or qualifications. or skills would you contribute as a volunteer?
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BELIEFS
Please briefly describe your beliefs regarding the following issues:
The Bible
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Use of tobacco, drugs and alcohol
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Extramarital / Premarital sex
*
Homosexuality
*
SELF-DESCRIPTION
Survey
Please rate yourself on the following descriptors. Strongly agree= Than is me! Strongly disagree= Not at all me! To many neutral= You might be doing this wrong!
Trustworthy
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Dependable
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Active
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Compassionate
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Reliable
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Self-Starter
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Punctual
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Flexible
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Laid-Back
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Quick Thinker
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Spontaneous
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Decisive
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Teachable
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Team Player
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Humorous
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Thoughtful
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Solitary
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Leader
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Cautious
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Risk-Taker
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Patience
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Reflective
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Honest
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Organized
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Creative
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Disciplined
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Faithful
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Please list any areas of personal weakness, areas where you need to grow or special concerns that could affect your ministry with students.
*
BACKGROUND INFORMATION
Have you, at any time, been involved in or accused (rightly or wrongly) of sexual abuse, maltreatment or neglect?
*
Yes
No
Have you ever been accused of possession/sales of controlled substances or of driving under the influence of alcohol or drugs?
*
Yes
No
Are you using illegal drugs?
*
Yes
No
Have you ever been arrested or convicted for any criminal act more serious than a traffic violation?
*
Yes
No
Have you ever been involved romantically or sexually with any student in the youth ministry, or had sexual relations with any minor after you became an adult?
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Yes
No
Have you ever been asked to step away from ministry or work with students or children in any setting, paid or volunteer?
*
Yes
No
Is there anything in your past or current life that might be a problem if we found out about it later?
*
Yes
No
If the answer is "yes" to any of the questions above, please give a full explanation below
REFERENCES
Please provide the name, phone number and email address of 3 non-family members whom we could contact for a reference.
Reference #1
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First Name
Last Name
Reference #1 - Phone
*
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###-####
Reference #1 - Email
*
Relationship to Reference #1
*
Reference #2
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First Name
Last Name
Reference #2 - Phone
*
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Reference #2 - Email
*
Relationship to Reference #2
*
Reference #3
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First Name
Last Name
Reference #3 - Phone
*
-
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###-####
Reference #3 - Email
*
Relationship to Reference #3
*
Please indicate your agreement with the statement below by clicking yes, or disagreement by clicking no.
To the best of my knowledge, all of the above information is correct and without error. In whichever role I may be placed, I will do my best to fulfill my role and its expectations to the best of my ability. I give Lakeshore Community Church full permission to verify the above information and contact all references. I understand that violation of the expectations of a Youth volunteer will result in my termination from that position.
*
Yes
No
Submit
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