BCC Kids & Students Volunteer Application

BCC Kids & Students:

Volunteer Application
All applicants for any position involving the supervision or custody of minors are required to complete this application form. The information gathered will be used to help the church provide a safe and secure environment for those children and adults who are participating in our programs. The material contained in this application will be kept confidential and will only be shared with those who have a genuine need to know in order to carry out their responsibilities.
PERSONAL INFORMATION:
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name (If under 18)

First NameLast Name
Parent Email (If under 18)
example@example.com
Parent Phone Number (If under 18)
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
References: (Please provide two references, with at least one non-family member)
Reference #1 Name

First NameLast Name
Reference #1 Email
example@example.com
Reference # 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference #2 Name

First NameLast Name
Reference #2 Email
example@example.com
Reference #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
FOLLOWING JESUS:
How long have you attended BCC?
Do you consider BCC your church home?
Please list any prior experience you have had serving in a local church, or working with kids/students.
Briefly describe your relationship with Jesus.
SAFETY:
Have you ever been accused, charged, or alleged to have committed any act of neglecting, abusing, or molesting any child?
Are there any circumstances involving your lifestyle or background that would call into question your ability to work with children?
Do you have any physical limitations or health conditions that might limit or restrict your ability to serve in BCC Kids/Students?
If you answered yes to any of the above, please share more.
VOLUNTEERING:
How did you learn about our need for volunteers?
Have you served or are you currently serving with another ministry at BCC?
Please select the age group you’re most interested in serving with, and answer the questions provided.

If you would like to volunteer in BCC Students, which grade level do you see yourself working with?

Please rate the following activities according to your experience.

Rows	No Experience	Some Experience	Highly Experienced
Hospitality
Leading Games
Leading Small Group
Music
Teaching/Storytelling
Tech/Production

List the above activities in order of your interest.
Have you participated in the below activities?
FCA
Student Rooted
Young Life

AGREEMENT
DECLARATION OF INTENT
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

BCC Kids & Students: