Child/Youth Volunteer Application

Volunteer Application

Please complete the application below to apply for volunteering with us.
Volunteer Screening Process:

Step 1: Complete this Child/Youth Volunteer Application
Step 2: Complete Background Check (18 & older)
Step 3: Complete Sexual Abuse Awareness online training (18 & older)
Step 4: Interview with Children's Ministries or Student Ministries team
Preferred Position*
Other Position not listed
Full Legal Name*

First NameMiddle NameLast Name
Preferred Name
Gender*

MaleFemale
Birthday*

MonthDayYear
Date
Age*
Are you between the ages of 5 - 14?
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Phone Number*

Area CodePhone Number
Emergency Contact Name*
Emergency Contact Number*
Relation to emergency contact*
Do you have previous experience working with children or youth?*

YesNo
If yes, please describe:*
Medical History
Please list any allergies you have:
Please list any medical conditions or physical disabilities that could affect you while volunteering:
Record of Education
Have you received certification in any of the following:

CPRLifeGuardEMTFirst AidNursingCounseling or TherapyCDL
Please list any education, training, or certifications you have that could help you while volunteering:
Personal Profile
Have you committed your life to Christ Jesus?*

YesNo
Briefly describe your relationship with Jesus Christ:*
If you do not attend Community Covenant, where do you currently attend?
What programs in church do you participate in on a regular basis?*
Personal References

Non-family: Please let them know you have used them as a reference.
Name*
Email*
Name*
Email*
Personal Record
Have you ever been arrested for a criminal offense?*

YesNo
Have you ever been convicted of or pled guilty to a crime?*

YesNo
Have you ever been arrested for sexual misconduct?*

YesNo
Have you ever been convicted of or pled guilty to sexual misconduct?*

YesNo
Are you currently taking any drugs other than those prescribed to you?*

YesNo
There is no tobacco, alcohol, or drug use while volunteering. Will that be an issue for you?*

YesNo
If you answered yes to any of the above, please explain:
General Agreement
Sign only if you agree
Medical Release
Parent/Legal Guardian Signature (sign only if you agree)
Photo Release
Sign only if you agree
Thank you for your interest in volunteering at Community Covenant Church!
Please verify that you are human*
Should be Empty:

Volunteer Application

General Agreement

Medical Release

Photo Release