Children's Volunteer Application Form

Children's Volunteer Application Form

West Salem Trinity United Methodist Church, 4212 Broadway St, Mount Vernon, IL 62864
West Salem Trinity United Methodist Church has a child safety policy founded on respect and love for the children of our church and community. This safety policy gives children, parents, and staffa sense of confidence and peace. This application will be treated with confidentiality.
Today's date*

MonthDayYear
Date
Name*

First NameLast Name
Has any information changed from last years application?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E mail*
example@example.com
Phone Number*
Format: (000) 000-0000.
Birth date*

MonthDayYear
Date
Occupation*
Where are/where you employed?*
Are you married?*
How many years?*
Spouses name*
Do you have children?*
Children's names and ages*
How long have you attended WSTUMC consistently?*
MemberSeeking membershipA member at a different churchNo interested at this time
Are you currently under a charge or have you every been convicted of or pled guilty to child abuse or a crime involving actual or attempted sexual misconduct or sexual molestations of a minor?*
Have you ever been a victim of any form of child abuse?*
Are you willing to discuss this with the Children's Ministry Director or Pastor?*
In the past 5 years, have you struggled with any addictions (such as alcohol, gambling, or pornography)?*
Have you ever committed any crimes, other than traffic infractions?*
Is there any other information we should know?*
CHURCH ACTIVITY
1. Please write a brief statement of how you became a Christian.*
2. In what activates/ministries of our church are you presently involved?
3. What volunteer or career experiences with children have you had in the church or the community?*
4. List any gifts, training, education, or other factors that have prepared you for ministry to children.*
5. In what capacity and with what age group would you like to minister? Explain your choice?:*
6. What causes the greatest feeling of apprehension as you contemplate this ministry?*
PERSONAL REFERENCES

(May not be family members)
Reference #1*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Format: (000) 000-0000.
Reference #2*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Format: (000) 000-0000.
Applicant's Statement
The information contained in this application is true and correct to the best of my knowledge. I authorize any of the above references or churches to give you any information that they may have regarding my character and fitness to work with children. I understand that failure to follow Biblical guidelines is grounds for removal from a ministry position.
Signature*

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Date*

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Date
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Children's Volunteer Application Form

CHURCH ACTIVITY

PERSONAL REFERENCES

Applicant's Statement