DUCKs Volunteer Application
This application is for anyone interested in volunteering with the Children's and Youth Ministry at Divine Unity Community Church. Your responses need to accurate and truthful to the best of your ability. To ensure the safety of the children, a background check will proceed the application. Thank you so much for your interest in serving with DUCKs!
Email Address *
Your answer
First Name *
Your answer
Last Name *
Your answer
Middle Initial *
Your answer
Permanent Address *
Your answer
How long at this address? *
Your answer
Cell Phone Number *
Your answer
Driver's License Number and State Issued *
Your answer
Birthdate *
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DD
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Current Employer
Your answer
Length of Employment
Your answer
Where would you be willing to serve? *
Required
Availability (Sundays) *
Required
Service Preference *
Required
What skills, talents, gifts, passions do you possess that would enhance this ministry? (ex: storyteller, artistry, music ability, organization, systems manager, able to make people feel at home, etc..)
Your answer
Are you CPR or First Aid certified? *
T-Shirt Size
How long have you attended DUCC? *
Your answer
Briefly describe your testimony/relationship with Jesus Christ *
Your answer
Ministry References (Please list any previous church work that has involved children and/or youth. Provide the name of the church, contact person, and phone number.) *
Your answer
Two Personal References: (non-relative over the age of 18 whom you have known for more than 2 years). Provide Name, phone number, and email address. *
Your answer
Do you use illegal drugs? *
Have you ever been hospitalized or treated for alcohol or substance abuse? *
Have you been convicted of an offense other than a minor traffic violation(s)? *
Have you ever been the subject of any disciplinary action, transfer or dismissal, as a result of an accident or mishap involving children? *
Have you ever been accused, arrested, or convicted of any sexually related crimes? *
Have you ever been accused, arrested, or convicted for any abuse related crimes? *
Is there any circumstance or pattern in your life (past or present) that would make it inappropriate for you to serve with minors or would compromise the integrity of DUCC? *
If you answered yes to any of the questions above, please explain in detail: *
Your answer
I certify that all of the information in this application is correct to the best of my knowledge, and I understand that any omission of material fact on this application may be grounds for rejection of this application. I understand that all information in this application will be held confidential, but can be released to duly authorized local, state, or federal agencies. I authorize any references, churches or other organizations listed in this application to give any information they may have regarding my character and fitness for working with minors, and I release all such references from liability for any damage that may result from furnishing such evaluations. If a situation involving inappropriate conduct arises, I agree to withdraw from active involvement until the issue is resolved.-- If in agreement, please type your name in below: *
Your answer
Having committed to serving with the children and/or students of DUCC, I commit to: 1) Continuing to follow Christ’s teachings in my life. 2) Communicating with grace and truth with both adults and children 3) Continuing my personal connection with DUCC including attending Sunday morning service, being in a small group, and/or participating in the overall congregational life here at DUCC. 4) Committing 1 year of consistent service to the DUCKs Ministry-- If in agreement, please type your name in below: *
Your answer
I understand that a background screening report may include, but is not limited to, social security number verification; criminal and civil court records; driving records; and/or any other public records or any other information in connection with my application as a volunteer with Divine Unity Community Church.I understand that, if I am approved for volunteer service by Divine Unity Community Church, this background check authorization will be kept on file and may be used at any time during my service to procure further information when, in the judgment of Divine Unity Community Church, such may be necessary.I hereby release and discharge to the extent permitted by law, Divine Unity Community Church, its employees, any individual or agency obtaining information for Divine Unity Community Church, and any personal or professional reference,from any and all claims, damages, losses, liabilities, costs, or other expenses arising from the retrieving, reporting and/or disclosure of information in connection with this background investigation.I understand that I am volunteering my services and declare in no way shall I be considered an employee or subcontractor or independent contractor of Divine Unity Community Church. By signing below, I, have read, understand and consent to the above. My signature below certifies that all information I have provided in connection with this background check is true, accurate and complete to the best of my knowledge. *
Your answer
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