2022-2023 Ministry Volunteer Form

Capital City Seventh-day Adventist Church

Youth & Children Ministries Volunteer Form

Personal Information
Name*

First NameLast Name
Email
example@example.com
Cell Phone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
I am willing to Volunteer in the following Ministry:*

Adventurer ClubChildren's MinistryPathfinder ClubYouth Ministry
Current Church*
Previous Church
Previous Volunteer Experience*
PERSONAL REFERENCES (Three references are required. Only one reference may be filled by a relative
Name First Name* Last Name* Contact Telephone: Area Code* Phone Number* Relation: Type a label*
Name First Name* Last Name* Contact Telephone: Area Code* Phone Number* Relation: Type a label*
Name First Name* Last Name* Contact Telephone: Area Code* Phone Number* Relation: Type a label*

Emergency Contact Information
Contact Name*

First NameLast Name
Contact Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Telephone*

Area CodePhone Number
Relationship:*

Unlawful Conduct Questionaire
Have you presently or previously abused (neglect/physical/sexual/verbal) a child (minor)?*

YesNo
Have you been charged or disciplined for any unlawful conduct with a child or adult?*

YesNo
If yes, please explain

N.A.D. Youth/Children's Ministry Volunteer Code of Conduct
My Commitment to Volunteer Ministry - As a Youth/Children’s Ministry Volunteer, I will:
1. Provide appropriate adult supervision at all times for the children for whom I am responsible.
2. Have at least one other adult, eighteen (18) years of age or older, to help with the supervision of children. If I find myself in a situation where I am the only adult present, under no circumstances will I allow myself to be alone
with one child (the “two-person rule”). This protects the child as well as protecting the adult from possible allegations.
3. Ask a child’s permission before physically touching him/her anywhere, even when responding to an injury or problem. This is especially true for any areas that would normally be covered by a T-shirt and/or shorts. If an injury is within this area, make sure another adult works with you as care is provided.
4. Refrain from physical and verbal attacks and corporal punishment which are inappropriate behaviors and should never be used as discipline. “Time outs” or “sit-in-that-chair” may be helpful discipline methods to use with children.
5. Affirm children with appropriate touching by keeping hugs brief and “shoulder-to-shoulder” or “side-to- side.” I will keep hands at (not below) the shoulder level. For small children who like to sit on laps, I will encourage them
to sit next to me.
6. Provide extra care when taking small children to the restroom. I will take another adult along, or leave the door open.
7. Be aware of conducting activities in rooms that do not have an interior viewing area, or I will leave the door open during the activity to allow easy observation by others.
8. Cooperate with the volunteer screening process and successfully complete the Verified Volunteers (Formerly Shield the Vulnerable) training, as required by the church.
9. Be aware of the signs and symptoms of child abuse and aware of the legal requirements for reporting suspected cases of abuse. In addition to any legally required reporting, I agree that if I become aware of any behavior by another individual which seems abusive or inappropriate towards children I am supervising, I will report that behavior to the church pastor, elder, or directly to the Conference Risk Management Director.
10. Cooperate with church leadership in conducting children and youth ministries by being a volunteer who is loving, kind, firm, and always a thoroughly professional person. Working with children and youth is not only a privilege; it is also a serious responsibility that must be approached with utmost care.
11. Participate in orientation and training programs conducted by the church.
12. Uphold the standards of the Seventh-day Adventist Church.

Acknowledgement
Because I want the best possible environment for our children and youth to grow up in, it is important that those working with children have guidelines for conduct in order to protect both themselves and those under their care. As a ministry volunteer, I want parents and others to feel comfortable and confident with me. I will also complete the child protection screening and training through Sterling Volunteer.
Signature* Date
Should be Empty:

Capital City Seventh-day Adventist Church