The Mission Children's Ministry Application

The Mission Children's Ministry Application

This application is to be completed by all those desiring a ministry position involving the supervision or custody of minors. It is used to help the church provide a safe and secure environment for the children who participate at The Mission.
Legal Name*

First NameLast Name
Nickname
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long at this address*
MaleFemale
Birthdate*
Home Phone *

Area CodePhone Number
Cell Phone*

Area CodePhone Number
Work Phone*

Area CodePhone Number
Best time to call*
Your E-mail Address*
Marital Status*
Spouses Name
Number of Children and Ages
Emergency Contact and Phone number*
Occupation*
Place of Employment*
Do you have a personal relationship with Jesus Christ?*
Briefly Describe*
How long have you attended The Mission?*
List any leadership/volunteer experience you have had with children:*
List any training or education that has prepared you to work with children:*
List any other ministries in which you are involved:*
Age/Grade preference:*

Babies 3mo. - 2yrs.Ages 2yrs. - 3yrsAges 4yrs./PreKKindergartenGrades 1st - 6th
Hours Preference*

Special Events/ConferencesSunday AMWednesday PM
Local Personal References ( Must be 18 years old and not related to you)
1) Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
2) Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
The questions below are part of the process to help provide a safe and secure enviornment for our children. All information is held strictly confidential by the staff. It is our desire to work with you to find a ministry that is fulfilling and suited to your strengths and experiences.
Have you had any experiences that might make it difficult for you to minister to children at The Mission?*
Have you ever been accused or convicted of the use or sale of illegal drugs?*
Have you used illegal drugs in the last 3 years?*
Have you been hospitalized, treated for, or struggled with alcohol or substance abuse in the last 3 years?*
Have you ever been charged with a misdemeanor or felony?*
Are you engaged in any conduct that is contrary to the teachings of the Bible? *
Do you have any health issues that could place the children of The Mission at risk?*
Have you ever been denied legal custody of your children in any legal proceedings including divorce decrees or settlements?*
We conduct a police background check on applicants. Do you have any objections?*
If you answered yes to any of the above questions, please explain briefly:
Should be Empty: