• Crossroads Children's Fellowship

    Volunteer Application

  • This application is to be completed by individuals desiring to serve in a VOLUNTEER ministry position involving the supervision of or interaction with children or students. It is intended to help the Metro Church provide a safe and secure environment for children participating in Metro Church programs. All information will be kept in strict confidence, except as required by law. Please answer all questions. If you have any questions, please reach out to tina@metrophilly.org.

  • Format: (000) 000-0000.
  • Driver's License Information
  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Emergency Contact*
  • When did you start attending Metro regularly?*
     - -
    2 digit month, 2 digit day, 4 digit year

  • APPLICANT HISTORY
    Metro Church strives to provide a safe environment for children who participate in ministry programs. The following questions are in no way meant to offend or embarrass any applicant. For any ‘yes’ answer, please attach a detailed explanation in writing. An affirmative answer does not disqualify an applicant from volunteering, and this document will be kept highly confidential.

  • Have you ever been convicted of a criminal offense (felony or misdemeanor) involving moral turpitude or violence? (Crimes of moral turpitude involve fraud, theft or dishonesty.) Answer ‘yes’ if you have entered a plea agreement, including a deferred sentence or deferred judgment arrangement in connection with a criminal case. Answering ‘yes’ does not necessarily preclude an applicant from volunteering at Metro Church.*
  • Have you ever been charged with any felony or misdemeanor crimes for which you were not convicted?*
  • Are you presently under charges for any criminal offense?*
  • Have you ever been convicted for use or sale of drugs?*
  • Have you ever been charged with a sexual offense, offense relating to children, or crime of violence?*
  • Have you been arrested, for sexual assault or molestation related to a child or vulnerable adult? (If yes, give date and location below)*
  • Have you been reported to any organization or registry for abuse or misconduct involving children?*
  • Do you have any disciplinary action or investigation pending by an employer, other organization, professional association, or licensing body, for violence, sexual misconduct, or misconduct involving children or vulnerable adults?*
  • Have you ever been disciplined or dismissed from any volunteer or employment position following an allegation of sexual misconduct or physical aggression, verbal aggression, or other inappropriate behavior?*
  • Have you ever been reprimanded, or asked to leave or end your involvement/work in any program or organization providing services to children, youth or vulnerable adults?*
  • Do you now or have you ever sought out or intentionally viewed child pornography?*
  • Have you ever physically or sexually abused a child, youth or vulnerable adult?*
  • Has someone ever accused you of physically or sexually abusing or molesting a child, youth, or vulnerable adult?*
  • Have you ever been the subject of an investigation or allegation of sexual misconduct, sexual abuse, or sexual harassment involving a child or vulnerable adult?*
  • Have you ever been the subject of a civil lawsuit involving sexual misconduct or sexual abuse of a child, youth, or vulnerable adult?*
  • Do you have any conditions or limitations preventing you from performing any activities relating to children’s work?*

  • REFERENCES
    Please list *three* references with the following criteria:

    1. One reference must be a family member (no more than one).
    2. Two references must be non-family members.
    3. At least one of the three must be of the opposite gender.
  • Personal*
  • Family Member (Family of Origin Preferred)*
  • Spiritual*

  • VOLUNTEER STATEMENT AND RELEASE
    PLEASE READ CAREFULLY BEFORE SIGNING


    I authorize Metro Church personnel to communicate with any prior employer or organization with whom I have volunteered in the past related to work with children, minors or vulnerable adults.

    In completing this Volunteer Application, I understand that information in this application will be used to determine volunteer eligibility at Metro Church. In consideration of the receipt and evaluation of this volunteer application, I release the ministry, and its agents, from any and all liability for any damage that may result from furnishing such information to the ministry. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application, or any past employer, except as may be required by law.

    If Metro Church offers me a volunteer opportunity, a potential employer may contact Metro Church or its representatives in the future concerning my volunteer record and performance at Metro Church. Specifically, I agree that Metro Church may share information with any future potential employer if such information relates to inappropriate behavior with moral turpitude.

    I affirm that I will strictly comply with Metro Church policies and procedures, including those concerning protection of children, sexual abuse and misconduct, and interpersonal relationships. I understand and agree that failure by me to abide by such policies may result in my immediate dismissal.

    The information contained in this application is true and correct. I understand and agree that any false answers or statements on this application, or any false statements made during the interview process, will be sufficient grounds for immediately discharging me from any volunteer position, no matter when discovered.

    I authorize any reference or organization listed in this application, as well as any past employer or volunteer supervisor, to release any information contained in files or records concerning me. I authorize any reference, organization or past employer to provide any information (including opinions) that they may have regarding my character and fitness for any volunteer opportunity at Metro Church.

    I release any individual, employer, reference or any other person or organization, including record custodians, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs or my family, on account of compliance or any attempt to comply with this authorization. This authorization specifically includes information, opinions or records related to protection of children.

    I understand to be able to volunteer, I will be required to consent and pass a Background Check investigation. I understand that adverse results of a Background Check, including ongoing Background Checks, could negate my current or continued volunteer opportunity.

    I understand that I am required to notify my immediate supervisor if I am arrested, charged or accused of criminal behavior during my time of service as a volunteer at Metro Church. To the extent required by law, this information will be kept confidential.

    I HAVE CAREFULLY READ AND AGREE TO THE FOREGOING, I UNDERSTAND AND AGREE THAT A COPY OF THIS APPLICATION WILL BE AS VALID AS THE ORIGINAL.

  • VOLUNTEER STATEMENTS AND AGREED CODE OF CONDUCT
    PLEASE READ CAREFULLY BEFORE SIGNING

    • I understand that my references and contacts from prior ministry or secular work with children, youth or vulnerable adults may be contacted and that an appropriate Background Check will be conducted. I authorize investigations of all statements contained in this application and I specifically authorize Metro Church to undertake a Background Check.

    • I understand that I can withdraw from the application process at any time.

    • I understand that Metro Church has a policy of ZERO TOLERANCE FOR ABUSE
      and takes all allegations of child abuse and neglect seriously. Metro Church personnel report all suspicions of abuse or neglect to relevant law enforcement agencies.

    • I understand that Metro Church cooperates fully with authorities to investigate all cases of alleged abuse. Abuse of any kind is grounds for immediate dismissal from my volunteer position and may form a basis for criminal charges.

    • I agree to read and abide by all policies concerning my conduct and behavior toward children, students, or vulnerable adults.
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