Jesus Center Church Kid's Ministry
Thank you for your interest in serving JCC Kids! As we begin JCC Kids, we are looking to have a minimum of two adults in each classroom. We will begin with one classroom for kids who can crawl through 5th grade. We hope to be able to offer two classes (Crawlers through Preschool and K-5th Grade within the first few months of starting Jesus Center Church). If you have any questions, please email
(Google Forms is a 256 bit encrypted form).
JCC Kids asks for a commitment to serve at least once a month (or more) for a four month duration. Are you able to commit to this? *
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
What is your date of birth? *
Current Address (street, city, state and zip) *
Your answer
Phone Number *
Your answer
Please provide two references and phone numbers (non-family). *
Your answer
Briefly explain why you are interested in serving in JCC Kids and any experience you have interacting with children. *
Your answer
Do you agree to the legal and privacy terms below? *
This form must be completed by all persons interested in any position involving the supervision or care of minors. It will be used by Jesus Center Church to help provide a safe environment for those children and youth who participate in our church programs.

I hereby release and hold harmless from liability all persons, organizations, or other entities which provide references or information to Jesus Center Church with regard to me or my background.

I also release and hold harmless from liability Jesus Center Church, its clergy staff, employees and volunteers with regard to any decision that is made on my application.

Please type (eSignature) your first name, middle initial, and last name below officially authorizing Jesus Center Church to obtain a criminal background check. *
Your answer
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