Volunteer Application

Volunteer Application Form

Please fill this form out completely.
This form is designed to help us provide a safe and secure environment for all who participate and serve in our programs and ministries. The information on this application will remain confidential, in keeping with the legal requirements of the church. This is not an application for employment.
Name
Date of Birth

MonthDayYear
Date
Address

Address

Street Address Line 2

City, State, ZipState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email
example@example.com
What areas of serving interest you?
How long have you been attending Heights Church?
Have you volunteered at Heights Church before?
If so, in what area and for how long?
Are you a student?

YesNo
If so, where do you attend school?
What church or churches have you attended in the past five years? Name and years attended.
Church Name
Years attended
Church Name
Years attended
Church Name
Years attended
Please supply at least two independent references. (Not relatives. Past ministry leaders or former employers preferred.)
Name
Relationship
Email
example@example.com
Phone

Area CodePhone Number
Name
Relationship
Email
example@example.com
Phone

Area CodePhone Number
Name
Relationship
Email *
example@example.com
Phone

Area CodePhone Number
Personal History: If you prefer, you may discuss your answers to the following questions in person rather than answering them on this application. Answering yes, or leaving the question unanswered, will not automatically disqualify you as an applicant.
Have you, at any time ever, been convicted of, or pleaded guilty or no contest to any crime?

YesNo
Have you, at any time ever, participated in, or been accused, convicted, or pleaded guilty or no contest to abuse or any sexual misconduct?

YesNo
Are you aware of having any traits or tendencies that could pose any threat to children, youth, or others?

YesNo
Any reason why you should not work with children, youth, or others?

YesNo
If the answer to any of the above questions is "yes", please explain in detail, or indicate that you would prefer to speak in person
/ (Applicant's Name) Heights Church is relying on the accuracy of the information / provide on this application form. Accordingly, / attest and affirm that the information I have provided is absolutely true and correct. I authorize the organization to contact the person or entity listed on this form, and I further authorize such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications.

I voluntarily release the organization and any such person or entity listed on this Volunteer application from liability involving the communication of information relating to my background or qualifications.
Printed Name
Signature

Clear
Date

MonthDayYear
Date
MINOR APPLICANTS - Parental Affirmation and Consent

I, (print name)affirm that am the parent/legal guardian of the applicant. I recognize that Heights Church is relying on the accuracy of the information provided. To the best of my knowledge, I affirm and attest that the information provided is true and correct. I further attest and affirm that I am aware of no traits or tendencies of the applicant that could pose any threat to children, youth, or others.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Volunteer Application Form