Youth Ministry Application

Thank you for your interest in serving in the Youth Ministry at Otterbein Church. Please complete the form below. You will be contacted following your completion of the form by our Youth Pastor, Dwight Karkan.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number*
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Occupation*
Employer*
Work Status (optional)

Part-timeFull-time
Marital Status (optional)

SingleMarried
How long have you attended Otterbein?*
What are three things you love to do?*
What are your strongest abilities (teaching, caring event planning, tech, music, etc.)*
Legal/Lifestyle Information

In caring for students, we believe it is our responsibility to seek adult staff who are able to provide healthy, safe, and nurturing relationships. With that in mind, please answer the following questions:
Have you used illegal drugs in the past 6 months?*

YesNo
Have you ever been arrested and/or convicted of a crime?*

YesNo
Have you ever been accused or convicted of any form of child abuse?*

YesNo
Volunteer Commitment*

I commit to growing in my relationship with God through Bible study, prayer, and regular/active attendance at Otterbein Church.I commit to a lifestyle that is worthy of imitating (1 Corinthians 11:1).I commit to the student ministry for a least a full school year.I commit to attending monthly volunteer meetings.I commit to helping recruit other adults for our ministry's growing needs.I commit to be consistent and on time for the programs to which I commit.
Which Volunteer Position(s) would you like to fill? (Select All That Apply)*

Small Group Leader (Sundays @ Encounter)Greeter/Check-in (Sundays @ Encounter)Worship/Tech Team (Sundays @ Encounter)Crew Leader (Mid-Week)Other
Authorization & Release

The information provided in this application is correct to the best of my knowledge. I understand this information will be kept confidential by the church staff.I give Otterbein Church permission to complete a background check on my behalf. I acknowledge that I have never been convicted of child abuse or a crime involving any child. I agree to be bound by the discipline and policy procedures of Otterbein Church.
Digital Signature (enter first and last name)*

Clear
Social Security Number (only numbers, no dashes)*
Should be Empty:

Legal/Lifestyle Information

Authorization & Release