Knox Church -Children’s Ministry Adult Volunteer Application

Part 1 of 3, of the Children's Ministry Volunteer application process

First Name *

Last Name *

Address *

Apt, suite, etc.

Country

City

State

Zip code

Email *

Preferred phone contact *

Preferred phone contact type *

Home Phone

Mobile Phone

Office Phone

Alternate phone contact

Alternate phone contact type

Home Phone

Mobile Phone

Office Phone

Knox Member *

Yes

Attending Knox since (month-year):

Please note other church(es) you have attended in the past 5 years? (if applicable)

Please list: Church name, pastor's name and # of years attended

In what area(s) are you volunteering to serve? *

Please check all that apply

Early Childhood Program (Nursery, Toddler 1, 2, 3)

Elementary Christian Education

Children’s Worship (Prek/K, 1-3rd)

Kids’ Club (Wed evenings, Prek-6th)

Kids’ Camp (Summer, Prek-6th)

Other

Please note "Other" area

Questions

Why would you like to serve in Children’s Ministry? *

What qualities or skills do you have that would help you work with children? *

Do you have any disabilities or conditions, which would prevent you from performing certain types of activities relating to children’s work? *

Yes

If yes, please explain:

What prior experience working with children do you have?

Experience working with children #1 *

Note: Organization, Program, Dates & Contact Person

Do you have 2nd experience to add? *

Yes

Experience working with children #2

Note: Organization, Program, Dates & Contact Person

Do you have a 3rd experience to add?

Yes

Experience working with children #3

Note: Organization, Program, Dates & Contact Person

References

Instructions

Please provide two references (other than relatives) and their contact information

Name of reference #1 *

Contact info of reference #1 *

Email or street address

Name of reference #2 *

Contact info of reference #2 *

Email or street address

Reference disclosure

I understand that any release/disclosure of information carries with it the potential for an unauthorized redisclosure and the information may not be protected by Federal Confidentiality Laws. I understand that I have waived my right to inspect any information provided by my references and have released all individuals and organizations from any and all liability for damages in regard to their release of information about me.

Agreement to reference disclosure *

I agree

I do not agree

Applicant Agreement

I certify that the information I have provided in this application is correct to the best of my knowledge. I understand that this application will be kept strictly confidential.

Applicant Agreement *

I agree

I do not agree

This application remains in effect even if the volunteer changes their area of service. If there are any changes in the above information, the volunteer should inform the Children’s Ministry Director.

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Children’s Ministry Adult Volunteer Application

Knox Presbyterian Church

Call (734) 761-5669

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