Volunteer Interest Form
Name
*
First Name
Last Name
Gender
*
Male
Female
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mobile Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Birth Date
*
-
Month
-
Day
Year
Date
Marital Status
*
Single
Married
Spouse's Name
Do you have children?
*
Yes
No
How many children do you have?
Do you have any medical training, or CPR certified?
*
Yes
No
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Next
Positions: (No experience needed!)
We will train you to become a dynamic Children's Ministry specialist!
In which areas would you like to serve?
*
Newborn - 3 Years
Pre-K
Kindergarten
1st-2nd Grade
3rd-6th Grade
Greeter
Creative Team: Puppets
Creative Team: Drama
Creative Team: Praise & Worship
Sound/Media Operator
Check-In Station
Resource Room
KJAM Office
When are you available to serve?
*
Sunday, First Service - 9:00am
Sunday, Second Service - 11:00am
Once A Month - Blitz Night - 6:30pm
How many times a month are you available?
*
Are you available for Special Events?
*
Yes
No
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Share with us your talents, skills or education that will help us in our Children's Ministry.
Check boxes below of the talents you have. (Check All that Apply)
Computer Skills
MS Word
MS Excel
MS Powerpoint
MS Publisher
Basic PC Skills
Intermediate PC Skills
Advanced PC Skills
Basic Office Skills
Typing
Data Entry
Filing
Phone Communication
Mailing (Stuff, Label, & Seal)
Coping/Scanning
Organizing
Gifts/Talents
Sewing
Painting
Crafting
Decorating
Good Communicator
Wood Work
Electrical
Other, Explain Below
Additional education or talents not listed above:
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History
How long have you been attending Crossroads Church?
*
Have you taken the classes to in order to member of Crossroads Church?
Yes
No
In Process
Do you have a personal relationship with Jesus Christ?
*
Yes
No
Since when?
-
Month
-
Day
Year
Date
Have you completed the Next Steps classes?
Yes
No
In Process
List your top spiritual gifts:
Do you have any physical disabilities or conditions preventing you from preventing you from performing certain types of activities?
Yes
No
If yes, please explain.
Have you ever been convicted of a crime?
*
Yes
No
If yes, please explain.
Have you ever been accused, arrested or convicted of child abuse, neglect, or a crime involving actual or attempted sexual molestation of a minor or other sexually related crime?
*
Yes
No
If yes, please explain.
Do you use illegal drugs?
*
Yes
No
Have you ever been hospitalized or treated for alcohol or substance abuse?
*
Yes
No
Are there any circumstances involving your lifestyle or your background that would call into question your ability to work with children?
*
Yes
No
If yes, please explain.
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References
References are required for each applicant prior to their certification to work with children. The information that you share will be held in strict confidence.
Reference 1
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: