LWC Kids Volunteer Application Form for Ministries to Children & Preteens

LWC Kids Volunteer Application Form for Ministries to Children & Preteens
At Living Waters Church, it is our desire to provide a safe and secure environment within our children's ministries. We believe this information is necessary to protect our children and our volunteers. Please fill out this form to the best of your ability. Thank you!
Personal Information
Name*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Date of Birth

MonthDayYear
Date
Occupation/Employer
Marital Status
Spouse & Children's Names (if applicable):
Spiritual History/Church Background
When did you accept Christ as your Savior?*
How long have you attended Living Waters Church?*
If you've attended LWC less than six months, what church did you attend before?
Have you ever served in Children's Ministry?

YesNo
Please check off the areas where you might be interested in serving.*

Nursery (0–2 years old)Climbers (2–5 years old)Navigators (Kindergarten–Grade 3)Preteens (Grades 4–6)Summer "Arts Camp"Special Events Help
Which Sunday service would you like to serve in?

8:45am10:15am
What special gifts, talents, or interests would you be willing to share with children?
Lifestyle
In order to provide a safe and secure environment for our children, we believe it is necessary to include the following questions as part of our application process. All information will be kept strictly confidential. (Police may access this information under warrant, if requested.) Answering "yes" to any of these questions may not preclude your involvement in ministry. A review meeting will be arranged with a Pastor so that you my discuss any of the circumstances below. Thank you in advance for your understanding.
Have you been convicted of a criminal offence?*

YesNo
Have you been convicted of a criminal offence involving children?*

YesNo
Have you been convicted of a sexually-related crime?*

YesNo
Have you been convicted of an abuse-related crime?*

YesNo
Do you have any communicable diseases?*

YesNo
Is there anything from your past or present that might exclude you from serving with children?*

YesNo
Do you have any physical conditions that would prevent you from performing certain types of activities (lifting children, playing sports...)? If so, please explain.
References
Please provide the names of the individuals, excluding relatives, who could provide a reference for you, (your reference should be someone that has known you for at least one year). If possible, please include at least one reference from inside the church. If you are a minor (ages 12-18), you may use one relative.
Reference #1*

First NameLast Name
Relationship to you*
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Reference #2*

First NameLast Name
Relationship to you*
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
It is required for persons age 16 years and up, as part of our application process, for you to have a Criminal Record Check completed and to renew it every 5 years. Also, you are required to complete a Plan to Protect session and a refresher session every 2 years.
Do you agree to meet these requirements?*

YesNo
Applicant's Statement
I hereby acknowledge that the information contained in this application for ministry is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information they may have regarding my character and capacity for children's ministry, and I release all such references from liability for any damage that may result from furnishing such evaluations to you. I also grant my permission for Living Waters Church to perform a Criminal Record Check for the purpose of my protection against any false allegations and for the protection of those I serve. I consent to such an investigation with the understanding that the results will be kept in extreme confidentiality. I further agree to adhere to the Child Protection Policy as adopted by Living Waters Church.
Applicant's Name*
Date*
Thank you so much for filling out this application, you will be contacted very soon about a meeting time to review your application.

The information received is kept strictly confidential.
Should be Empty:

LWC Kids Volunteer Application Form for Ministries to Children & Preteens

Personal Information

Spiritual History/Church Background

Lifestyle

References

Applicant's Statement