Date
Date
Name *
Name
Birthday
Birthday
Phone
Phone
Home Address
Home Address
Marital Status
Spouse's Name
Spouse's Name
If Applicable
Including spouse, children, extended family members, roommates, etc.
Work/Employment Experience
Work Status
Superviser's Name
Superviser's Name
Superviser's Phone Number
Superviser's Phone Number
May we contact your superviser for a reference?
Previous Church and/or Volunteer Experience
Have you served as a volunteer or paid staff member at another church or community organization in the past?
Address of Church/Organization
Address of Church/Organization
Name of Pastor/Church Leader/Supervisor
Name of Pastor/Church Leader/Supervisor
Contact Phone Number
Contact Phone Number
Current Church Involvement
Are you a member?
Are you involved in a small group at VBCC?
Personal and Spiritual History
Include date or age.
Legal Background and Lifestyle Concerns
In serving on our Children's Ministry Team, we believe it is our responsibility to seek an adult volunteer that is able to provide healthy, safe, and nurturing relationships. Please answer the following questions accordingly.
Have you ever been arrested and/or convicted of any crime?
Have you ever been accused, charged with or convicted of a crime or incident involving a child, the elderly or disabled?
Have you ever struggled with any sin involving a child, the elderly or disabled?
Have you ever had sexual relations with a minor after you became an adult?
Have you ever been accused of misconduct of any kind as a volunteer or employee?
Is there any other information that might be revealed in a personal/criminal background check?
Are you currently using illegal drugs?
Have you ever gone through treatment for alcohol or drug abuse?
Are you CPR Certified?
Do you have medical or emergency response training of any kind?
Ministry Skills & Preferences
Please check the age group in which you would consider serving:
Please check the times in which you would consider serving:
References
Please provide contact information for three personal references (not relatives).
Reference #1
Reference #1
Reference #1 Phone Number
Reference #1 Phone Number
Reference #2
Reference #2
Reference #2 Phone Number
Reference #2 Phone Number
Reference #3
Reference #3
Reference #3 Phone Number
Reference #3 Phone Number
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