FLM Youth Worker Application

Please complete the entire application. Completion of this form does not constitute acceptance in a ministry position. Thank you for your willingness to serve!

Applicant Information: (This application must be completed by the parent or guardian).

Parent/Guardian's Name*

Parent/Guardian's Primary Phone*

Youth Applicants Name*

Address*

City*

State*

Zip*

Home Phone

Cell Phone*

Gender:*

MF

Email Address*

example@example.com

Youth's Date of Birth*

Date

School*

Grade*

Department applying for*

How often can he/she commit?*

Once monthlyTwice monthlyWeekly

During which service would you prefer your youth to serve?*

Sunday 8:30amSunday 10:30amSunday 7:00pmWednesday 7:30pm

Other

When did applicant accept Jesus as their Lord and Savior*

When did applicant become a member of Faith Landmarks Ministries*

In what other departments is the applicant currently serving

Has he/she ever been convicted of a criminal offense (excluding minor traffic violations)?*

YesNo

If yes please explain

Does he/she have any physical handicaps or conditions that would prevent them from performing certain types of activities?*

YesNo

If yes please explain

Is he/she receiving or has ever received treatment (residential, outpatient or medication) for emotional/mental problems?*

YesNo

If yes, please explain

1. This application must be completed by the Parent or Guardian. Incomplete applications will be returned.

2. Age Requirements:

6th grade or above: permitted to apply to work in any non-secure Helps Ministry Department.
6th grade or above: only permitted to apply to work in Totstown Potty-Trained through Castletown Depts.
9th grade or above: permitted to apply to work in any KidzTown Department.

3. Due to Virginia state law and insurance requirements, all applicants over the age of 16 must complete the BLUE (SECURE) application to work in any children's ministry.

4. You must have a good report of behavior, faithfulness & commitment to the Lord Jesus Christ at all times, whether serving or not.

5. Upon acceptance of your approved application, the Department Head will contact you.

6. All youth workers are required to attend at least one service a week in the main Sanctuary or in Youth ministry.

I have read this application with my youth. I am in full agreement and will do my best to see that he'she fulfills the department's requirements. I attest to the truth of all answers, and that I filled out the application personally.

ParentGuardian Signature*

Date*

Date

I have read, understand, and agree to abide by the above guidelines as a worker. If at any time I am unable to keep these guidelines, I will inform my department head.

Applicants Signature*

Date*

Date

Office Use Only: Approved Date:

Office Use Only

Approved by

FAITH LANDMARKS MINISTRIES

STATEMENT OF GUIDELINES