kstudents: Kingsway Volunteer Application

Thank you so much for your interest in serving in Student Ministry. This information helps our team know you better. We recognize the sensitive nature of several questions. They are included because it is Kingsway's responsibility to protect our volunteers and the children and youth we serve. Information will remain confidential.

Your name *

Email address *

Birthdate *

Gender *

Marital status *

Address *

Phone number *

Why do you want to volunteer with student ministry? What fuels your heart for students? *

Church Background

Are you currently a member of Kingsway Christian Church? *

List any other churches you have regularly attended in the last 3 years, if any. *

How do you describe your spiritual background? *

Have you been baptized by immersion? *

Briefly describe how you became a follower of Christ? *

Placement

Which age group(s) would you like to serve with? *

Middle School (6th-8th grade)

High School (9th-12th grade)

Which service(s) would you like to serve at? *

9:00 a.m. (MS only)

11:00 a.m. (MS only)

Either 9:00 or 11:00 a.m. (MS only)

5:00 p.m. (HS only)

Child Protection

The next set of questions is required to work with minors as week seek to create the best environments for them. If you prefer, you may choose not to answer any questions in this section, instead, you may discuss your answers in confidence with the staff member over your area or our Care Pastor. Answering yes or leaving the question blank will not automatically disqualify an applicant.

Have you, at any time, been convicted of, or pleaded guilty or no contest to, any crime?

Have you, at any time, ever participated in, or been accused, convicted, or pleaded guilty or no contest to, abuse or any sexual misconduct?

Have you ever had or been told that you may have a problem with drugs, alcohol, pornography, or other addiction?

Have you ever been treated for emotion or mental health concerns that would affect your ability to perform in this volunteer role or interact appropriately with children?

Were you a victim of abuse or molestation while a minor?

Are you aware of having any traits or tendencies that could pose any threat to children, youth, or others?

Are you aware of any reason why you should not work with children, youth, or others?

Do you have a valid driver's license? *

Have you ever had your driver's license suspended or revoked? *

Personal References

Please list three NON-FAMILY references.

Personal Reference #1

First and Last Name *

How do you know this person? *

Phone Number *

Personal Reference #2

First and Last Name *

How do you know this person? *

Phone number *

Personal Reference #3

First and Last Name *

How do you know this person? *

Phone number *

Kid/Student Volunteer Verification and Release

I agree to the following statements: *

I (Applicant's Name) ___________ recognize that Kingsway Christian Church is relying on the accuracy of the information I provide on the Kingsway Volunteer Application form. Accordingly, I attest and affirm that the information I have provided is absolutely true and correct.

I authorize the organization to contact any person or entity listed on the Kingsway Volunteer Application form, and I further authorize any such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications.

I voluntarily release the organization and any such person or entity listed on the Kingsway Volunteer Application form from liability involving the communication of information relating to my background or qualifications.

OR

Minor Applications Volunteer Verification and Release

Parental Affirmation and Consent

I, (print name) ______________ affirm that I am the parent/legal guardian of the applicant. I recognize that KCC is relying on the accuracy of the information provided. To the best of my knowledge, I affirm and attest that the information provided is true and correct. I further attest and affirm that I am aware of no traits or tendencies of (applicant’s name) _____________ that could pose any threat to children, youth, or others.

I am the legal guardian filling out this application for a minor under 16 *

Printed Name (First & Last) / Electronic Signature *

By applying my electronic signature (typed name) to this agreement, I agree that my electronic signature is the legally binding equivalent of my handwritten signature on paper. I will not, at any future time, claim that my electronic signature is not legally binding or enforceable. By electronically signing and submitting this form, I acknowledge that I have read, fully understand, and agree to all of the terms described in each section above.

Today's Date *

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