NLC Children's Ministries Volunteer Application

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Volunteer Information

Full Name *

Date of Birth *

Address *

City *

Zip Code *

Phone Number (555-555-5555) *

Email address *

Home Church

Are you a member of your home church?

Yes

Clear selection

Have you ever been charged, convicted of, or pled guilty to a crime, either a misdemeanor or a felony (including but not limited to drug-related charges, child abuse, other crimes of violence, theft, or motor vehicle violations)? *

Yes

Have you ever been exposed to an incident of child abuse or neglect? *

Yes

Do you have your own transportation? *

Yes

Do you have a valid driver’s license? *

Yes

If yes, please provide your driver's license number.

Are you currently CPR/First Aid certified? *

If you answered yes please send a copy of your certification to kids@newlifedinuba.org

Yes

What children's ministry position you are applying for? *

Why would you like to serve in this position? *

What qualities do you posses that will assist you and those you work with to fulfill the duties of this position? *

Please state previous work or volunteer experiences that relate to the position for which you are applying. *

References

Please list 2 references

Reference #1 *

Include their name, address, phone number, and relationship to you

Reference #2 *

Include their name, address, phone number, and relationship to you

Policies and Procedures

Please review our Policies and Procedures by clicking on the following link: http://tinyurl.com/DMBCkidsPandP

I have read and understand the policies and procedures set by the Board of Children's Ministries and agree to follow them. *

Yes, I have read the policies and procedures and agree to follow them

Required

I have read and understand the Children's Ministry Volunteer Code of Conduct set by the Board of Children's Ministries and will submit a signed copy to the Children's Ministry Director. *

form can be downloaded here: http://bit.ly/1RpFqTc

Yes, I have read and will submit a signed copy of the Children's Ministry Volunteer Code of Conduct

Required

Application Submission

The information contained in this application is correct to the best of my knowledge. If necessary, I authorize any references listed in this application to give you any information that they may have regarding my character and fitness for children’s or youth work. I also authorize, if necessary, the release of any information that pertains to any record of criminal convictions. In consideration of the receipt and evaluation of this application by Dinuba Mennonite Brethren Church, I hereby release any individual, church, youth organization, charity, employer, reference, law enforcement agency, or any other personnel or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application. I further state that should my application be accepted, I agree to be bound by the by-laws and policies of Dinuba Mennonite Brethren Church and to refrain from unscriptural conduct in the performance of my services on behalf of the church. *

Please type your full legal name in the box below, this will be your digital signature.

Signature of parent or guardian

This digital signature is required if applicant is under 18 years of age.

Submit

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