Saylorville Kids Volunteer Application
This application is to be completed by all applicants desiring to serve as a volunteer with Saylorville Kids (ages birth - 5th grade and Child Check-In). It is our goal to provide a safe and secure environment for the families that utilize our programs at Saylorville Church.
Email address *
1) Full Name *
Your answer
2) Primary Phone Number (xxx-xxx-xxxx) *
Your answer
3) Alternate Phone Number (xxx-xxx-xxxx)
Your answer
4) Church Membership *
5) If you are in the process of becoming a member, please check all that you have completed.
6) Christian Service *
Please give a brief list of any current and past volunteer positions. Please include the following information: position held, where, when.
Your answer
7) Have you ever been investigated for or accused of any abuse or sexually related crimes or ever abused or molested a minor in any way, regardless of whether there was any criminal investigation or conviction? *
8) Have you ever been arrested for a criminal offense (i.e. DUI, etc.) excluding minor traffic violations or convicted of any federal, state or municipal criminal offense? *
9) Sunday AM Ministry Opportunities
Please check all areas of interest and preferred service.
8:00 AM Service
9:30 AM Service
11:00 AM Service
Infant Nursery
Toddler Nursery
2s/3s Children's Church
4s-K Children's Church
1st grade
2nd grade
Jr Girls (3rd-5th grade)
Jr Boys (3rd-5th grade)
Child Check-In
References *
Please list up to two non-family members, preferably someone who has observed you interact with children/youth. Please include the following information: Full Name, Relation, Phone Number, Email.
Your answer
Additional Comments
Your answer
Waiver/Release *
The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give Saylorville Church any information (including opinions) that they may have regarding my character and ability to work with children. I release all such references from any liability for any damage that may result from furnishing such evaluations to Saylorville Church and I understand that any omission of material fact on this application may be grounds for rejection of this application and/or termination of Children's Ministries responsibilities. I understand that the personal information will be held confidential by the professional church staff. Should my application be accepted, I agree to follow the Doctrine, Policies and Procedures of Saylorville Church and to refrain from unscriptural conduct in the performance of my duties on behalf of the church.
A copy of your responses will be emailed to the address you provided.
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