REVIVE - Volunteer Application

Volunteer Application
Revive exists to help followers of Jesus disciple urban youth through life-on-life mentoring relationships. Please fill out this form to help us learn more about you as you seek to join us in pursuing this vision.
Your Name*

First NameLast Name
E-mail*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Date
Biological Sex*
Marital Status*
T-Shirt Size*
Occupation*
List any medical conditions/allergies, dietary restrictions (e.g., gluten free, dairy free, no pork), or physical activity restrictions.
Please describe any previous experience working or serving with children or youth (either as a volunteer or paid employee).*
What gifts, training, education, or experiences do you have that can support our ministry? (e.g., music, athletics, first aid certification, language skills, etc.)*
Why do you want to be involved with Revive?*
How would you like to serve?*

Program Volunteer (help run program night by seeking to create safe, fun, & Christ-centered culture)Volunteer Mentor (commit to consistently pursue mentee longer-term)Mentor Coach (experienced mentors who help coach other mentors)Other
Are you interested in other areas of program support?

planning & leading gamespreparing mealsserving mealsproviding transportation for students who need itplanning special eventssupervising student leadersteachingother
Faith Profile
Are you trusting Jesus alone as the Lord and Savior of your life?*
How would you describe your relationship to Jesus?*
At REVIVE, we require all of our volunteers to be followers of Jesus. If you are unsure of who Jesus is or what it means to follow Him, you will not be permitted to volunteer with REVIVE but we would be happy to discuss this with you more.
When and how did you become a Christian? What changes have you seen in your life since?*
How are you currently pursuing spiritual growth?*
Explain the gospel as if you were sharing it with an unbeliever.*
Are you a member of a local church?
Please explain*
Name of Church*
Church Website*
How often do you attend church services?*
Affirmation of Faith

Before continuing, please review this affirmation of faith summarizing our core beliefs. Having questions or disagreeing with this statement does not automatically disqualify you from serving with REVIVE. We do find, however, that it is a helpful tool in discerning whether or not this ministry is a good fit.

1. The Trinity
We believe that there is one living and true God, eternally existing in three persons, God the Father, God the Son and God the Holy Spirit; and that these are the same divine essence and are equal in every divine perfection, but that they have different roles (Genesis 1:1, 26; Matthew 28:19; John 1:1, 3; 4:24; Ephesians 4:5–6).

2. God the Father
We believe in God the Father, an infinite, personal spirit, perfect in holiness, wisdom, power and love. We believe that He concerns Himself mercifully in the affairs of men, that He hears and answers prayer, and that He saves from sin and death all who come to Him through Jesus Christ (Matthew 23:9; Luke 10:21,22; John 3:16; 6:27; Romans 1:7; 1 Timothy 1:1,2; 2:5,6; 1 Peter 1:3; Revelation 1:6).

3. Jesus Christ
We believe in Jesus Christ, God's only begotten Son, conceived by the Holy Spirit. We believe in His virgin birth, sinless life, miracles, and teachings. We believe in His substitutionary atoning death, bodily resurrection, ascension into heaven, perpetual intercession for His people, and personal visible return to earth. (Matthew 1:18–25; 20:28; Luke 1:26–38; John 1:1; 20:28, 30, 31; Acts 1:11; Romans 5:6–8; 6:9,10; 9:5; 8:46; 2 Corinthians 5:21; Ephesians 1:4; 1 Timothy 3:16; Hebrews 7:25; 9:28; I Peter 2:21-23).

4. The Holy Spirit
We believe in the Holy Spirit sent into the world by God to glorify the Son of God. We believe that without his work no one would come to faith. We believe that His work in regeneration is not the result of water baptism or any outward ritual. We believe He indwells everyone who trusts in Christ, and helps them make progress in overcoming sin and in becoming more like Jesus Christ in thought, deed, and love for God the Father (John 14:16, 17, 26; 15:26, 27; 16:9–14; Romans 8:9; I Corinthians 3:16; 6:19; Galatians 5:22–26).

5. The Word of God
We believe that the Bible, consisting of the sixty-six books of the Old and New Testaments, is the infallible Word of God, verbally inspired by God, and without error in the original manuscripts. We believe that God’s intentions, revealed in the Bible, are the supreme and final authority in testing all claims about what is true and what is right. In matters not addressed by the Bible, what is true and right is assessed by criteria consistent with the teachings of Scripture (Numbers 23:19; Proverbs 30:5; Psalm 12:6; Matthew 22:29, 43–44; 24:35; Mark 13:31; John 8:31,32; 14:26; 16:13–14; 17:17; 20:31; Acts 20:32; 1 Corinthians 2:13: 14:37; 2 Timothy 3:16; Titus 1:2; Hebrews 6:18; 2 Peter 1:20, 21; 3:16).

6. The Human Condition and Salvation
We believe that man was created by God in His own image and for his glory; but that man sinned and fell short of God’s glory, and thus incurred physical, spiritual, and eternal separation from God. We believe that all human beings are born with a sinful nature and sin by choice, and so are under divine condemnation. We reject justification by works of the law, and we believe that only those who trust Jesus Christ as their Savior, by virtue of His atoning death on the cross, submit to him as Lord, and embrace Him as supreme Treasure of their lives, are justified, delivered from condemnation, and receive eternal life. We believe that this faith leads to a heartfelt turning from sin. The Christian life involves growth in grace through persevering , Holy Spirit-empowered resolve to reckon ourselves dead to sin and alive to Christ. (Genesis. 1:26–27; 2:17; 3:19; Ecclesiastes 2:11; Psalm 51:7; Jeremiah 17:9; Matthew 13:44; John 1:13; 3:14; 3:16; 5:24; 5:30; 7:13; 8:12; 10:26; 17:3; Romans 3:19; 5:19; 6:11; 8:1; 1 Corinthians 15:1–2; 2 Corinthians 5:17; Philippians 3:7–8; Hebrews 3:12–14; 6:11–12; 10:39; James 1:14; I John 1:9).

7. The Church
We believe in one holy, universal Church made up of all who trust Jesus Christ as Savior, Lord and Treasure of their lives. We believe that God calls us to unite with other believers in local churches to help each other to value Christ above all, to praise Him together, to grow in our love and knowledge of Him, to stir each other up to good works, and to spread a passion for the supremacy of God in all things for the joy of all peoples through Jesus Christ. We believe that Christians should be baptized and regularly eat the Lord’s supper (Acts 15:36, 41; 16:5; Romans 6:3–4; 1 Corinthians 11:23–26; 16:1; Ephesians 1:22–23; Galatians 1:1–3; Hebrews 10:24–25; Revelations 1:4,10,11).

8. Marriage
We believe that marriage is exclusively the joining of one man and one woman—genders as God sovereignly assigned from birth to reflect his image and nature—in a covenant commitment to one another for a lifetime. Marriage is God’s unique gift to reveal the union between Christ and His church and to provide for the man and the woman in marriage the only context for intimate companionship, the only context for sexual expression according to biblical standards, and the only means for procreation of the human race. Any form of sexual intimacy outside of marriage (including fornication, adultery, same-sex sexual activity, bestiality, incest, the use of pornography, and polygamy) is sinful and offensive to God (Genesis 1:26–28; 2:23–24; Matthew 5:31; 15:18–20; 19:1–12; Mark 10:2–12; Luke 16:18; Romans 7: 1–3; 1 Corinthians 6:9–10, 18; 7:2–5; 11:11–12; Ephesians 5:22–33; Hebrews 13:4).

9. The Last Things
We believe in the personal and visible return of the Lord Jesus Christ to earth and the establishment of His kingdom. We believe in the resurrection of the body and the final judgment of all people, leading to the eternal happiness of the righteous in the Lord’s presence, and the eternal separation of the wicked from the presence of the Lord (Matthew 16:27; Mark 14:62; John 14:3; Acts 1:11; 1 Corinthians 4:5; 15:1–58; Philippians 3:20; 1 Thessalonians 4:15–8; 2 Thessalonians 1:7–10; 2 Timothy 4:1; Titus 2:13; Revelation 20: 11–15).
Can you gladly embrace this affirmation of faith?
What questions/concerns do you have?*
Reference Information

Provide three references (not related to you) whom you have known for a minimum of one year. At least one reference should be someone who has supervised you in a work, ministry, academic, or volunteer setting. Please contact each of these references, get permission to list each as a reference, and let each reference know they will be contacted by a REVIVE representative.
Reference #1 Name*

First NameLast Name
Relationship to you*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Reference #2 Name*

First NameLast Name
Relationship to you*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Reference #3 Name*

First NameLast Name
Relationship to you*
Phone Number*

Area CodePhone Number
Email*
example@example.com
Confidential Information

REVIVE strives to provide a safe, loving, and secure environment for children, youth, and volunteers who participate in ministry programs. The following questions are in no way meant to offend or embarrass any applicant, and an affirmative answer does not necessarily disqualify an applicant from volunteering. The REVIVE Director may talk with you in private, however, to see whether you need any pastoral assistance regarding the matter and to learn whether that issue has a bearing on your ability to work with children or youth. If you prefer not to answer any of these questions in writing, you may choose to speak with an appropriate leader personally and privately. Answers you provide on this document will be kept highly confidential.
Have you ever been convicted of or plead guilty to a crime (other than minor traffic violations)?*
Please explain*
Have you ever been charged with any felony or misdemeanor crimes for which you were not convicted?*
Please explain*
Have you ever been accused (rightly or wrongly) or been the subject of an investigation regarding sexual misconduct, sexual abuse, or sexual harassment involving a child, youth, or vulnerable adult?*
Please explain*
Have you viewed pornography within the past five years? *
(By pornography, we mean anything you have intentionally viewed for the sake of feeding lustful desire regardless of how explicit or not the material is.)
Please explain the extent of your pornography use. (e.g., When did you last view? How often? What you have done to stop? etc.)*
Do you now or have you ever sought out or intentionally viewed child pornography?*
Please explain*
Have you ever been dismissed from any child or youth-serving position as a paid worker or volunteer? *
Please provide date, location, and tell us more about the reason why you were dismissed.*
Have you ever received treatment for drug or alcohol abuse?*
Please explain*
Are you currently using any illegal drugs in any form? *
Please explain*
Have you ever been treated for any nervous or mental illness? *
Please explain*
Are you currently using any illegal drugs in any form? *
Please explain*
Did you experience physical, sexual, or emotional abuse as a child? *
We realize this information is sensitive, and it will be kept entirely confidential, except in circumstances where another child's safety is negatively impacted by confidentiality. You may choose to discuss your answer in confidence with the REVIVE Director. Answering 'yes' to this question will not preclude an applicant from volunteering.
At what age did the abuse occur, and how long did it continue?*
Have you had an opportunity to receive counseling and spiritual care in order to process the past abuse in a healthy manner? If so, when and how did this occur?*
If you have not had the opportunity to receive help related to past abuse, would you consider counseling or other ministry resources to address any resulting emotional or spiritual harm?*
VOLUNTEER STATEMENT, RELEASE, & CODE OF CONDUCT
I am 18 or older and would like to volunteer with REVIVE, a ministry of CityJoy.

I understand that volunteering may involve risks, such as physical activity, using equipment, and interacting with others. I accept these risks and agree not to hold REVIVE, its leaders, staff, or volunteers responsible for any injury, illness, loss, or damage that may happen during my service. I confirm that I am physically able to participate and will follow all safety instructions.

I give REVIVE permission to contact references, past employers, churches, or organizations I’ve worked with—especially in roles involving children or vulnerable people—to learn about my character and fitness to serve. I release REVIVE and anyone who provides this information from any liability related to sharing it.

If I volunteer with REVIVE, I understand that other organizations may contact REVIVE in the future about my service. I give permission for REVIVE to share information about my volunteer record, including any misconduct or policy violations, if needed to evaluate my suitability.

If accepted, I agree to follow all REVIVE policies, especially those protecting children and preventing abuse. I understand that not following these policies may result in dismissal.

I understand that a background check may be required and give my consent. I understand that certain results may disqualify me from serving.

I agree to inform my supervisor if I am arrested, charged, or accused of a crime while volunteering.

I am willing to be trained, supervised, and evaluated, and I understand that I am expected to serve responsibly and complete any required training.

I confirm that all information I provide is true and complete. I understand that false or misleading information may result in denial or removal from volunteering. A copy of this form is as valid as the original.

I also give REVIVE permission to use my name, image, and likeness (photo or video) taken during volunteer activities for promotional, educational, and social media purposes, unless I notify them in writing otherwise. I understand I will not be paid for this and that these materials become the property of REVIVE.
I have carefully read, understand, and agree to the above.*
I understand that REVIVE has a zero tolerance policy for abuse and takes all allegations of child abuse and neglect seriously. REVIVE personnel report all suspicions of child abuse or neglect to relevant law enforcement agencies. I further understand that REVIVE cooperates fully with authorities to investigate all case of alleged abuse. Abuse of any kind is grounds for immediate dismissal from volunteer involvement and may support criminal charges.*
I affirm that I have never engaged in abuse or misconduct involving a child, minor, or vulnerable adult, and I have not been the subject of an investigation or accusation of such conduct.*
Signature:*
Date*

MonthDayYear
Date
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Volunteer Application

Faith Profile

Affirmation of Faith

Reference Information

Confidential Information

VOLUNTEER STATEMENT, RELEASE, & CODE OF CONDUCT