Alive Youth Ministry Servant Interest Form
Please complete the following questions. We look forward to serving alongside you!
Address, City, Zip Code
Preferred method of contact
Are you a member of New Life Covenant Southeast? (Membership will be verified)
Which area of the ministry are you interested in serving?
Direct Service (classrooms/small group leaders)
Teens (High school)
Special Event Help
Which location are you interested in serving?
Youth Church Building - 7522 S. Greenwood Avenue
Lighthouse-4338 S. Prairie Avenue
DRW- 931 S. Homan Avenue
Previous Ministries Served
Briefly tells us why you are interested in working with the youth?
Are there any personal struggles you may be facing that conflict your servitude with the youth ministry
Emergency Contact (Name and Number)
Background Authorization Release
I_________________________hereby authorize New Life Covenant and/or its agents to make an independent investigation of my background, references, character, criminal or police records for the purpose of confirming the information contained on my qualifications for employment/volunteer now and if applicable, during the tenure of my employment/volunteer with the church.
I release New Life Covenant Southeast and/or its agent and any person or entity which provodes information pursuant to this authorization, from any and all liabilities, claims or lawsuits in regards to the information obtained from any and all of the above referenced sources used.
The following is my true and legal name and all information is true and correct to the best of my knowledge.
Full Legal Name
Social Security Number
Name and Date (serves as electronic signature)
Send me a copy of my responses.
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This form was created inside of New Life Covenant Church SE.