Lakeside Volunteer Application

Lakeside Volunteer Application
This application is to be completed by all volunteers for any position involving the supervision or custody of minors and by all church volunteers who could have contact with minors in church facilities or on church sponsored activities. It will help our church family provide a safe and secure environment for all boys and girls who participate in our ministries and use our facilities.
General Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone *
What ministry are you volunteering for?*

PreschoolChildrenYouthVBSPreschool, Children, Youth Choir
Have you ever been convicted or arrested for or pled guilty to a felony or an offense involving a minor?*

YesNo
If you answered "YES" above please explain:
Church Activity
Church Member?

Lakeside BaptistElsewhere
List all previous churches where you have worked or volunteered with minors:
Church Name #1
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Age group (preschool, children, youth etc.)?
Church Name #2
Address

Address

Street Address Line 2

CityState

Zip
Phone Number
Please enter a valid phone number.
Age group (preschool, children, youth)?
List all previous non-church organization where you have worked or volunteered with minors?
Organization #1
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone number(s)
Age group (preschool, children, youth etc.)?
Organization #2
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age group (preschool, children, youth)?
Personal Experience
List any experience, training, education, or other factors that have prepared you for volunteering with minors:
Provide a description of your conversion experience, your life before Christ, and life since your conversion including general dates, places, etc.:
Personal References
Reference #1
Name
Length of time known
Phone Number
Please enter a valid phone number.
Reference #2
Name
Length of time known
Phone Number
Please enter a valid phone number.
Reference #3
Name
Length of time known
Phone Number
Please enter a valid phone number.
Applicant's Statement and Agreement
Should my application be accepted, I agree to be bound by the Lakeside Baptist Child Protection First Policy and to refrain from unscriptural conduct in the performance of my services on behalf of the church. Lakeside Baptist Church believes that the Bible commands Christians to make every effort to live at peace and to resolve disputes with each other.

If there is a conflict between members or leaders of this church, we commit to making a sincere effort to resolve it according to the peacemaking principles set forth in Scripture rather than going to court (see, for example, Prov. 19:11; Matt. 5:9, 5:23-24, 7:3-5, 18:15-20;). If we are unable to resolve a conflict through personal conversations or informal mediation, we agree to give prayerful consideration to resolving the matter through formal Christian conciliation.

I have carefully read the Lakeside Baptist Child Protection First policy and this application and state that the information I have provided is true and correct and that I accept the above Statement and Agreement.
Applicant Signature*

Clear
Print Name

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Lakeside Volunteer Application

General Information

Church Activity

Personal Experience

Personal References

Applicant's Statement and Agreement