Volunteer Interest - Evergreen Next Gen

Your name *

Email address *

PERSONAL INFORMATION:

Phone Number *

Address *

Birthday *

Gender *

Marital Status

Anniversary Date

ENVIRONMENT:

Where would you be interested in serving? *

Nursery (3 Months-3 Years)

Nursery Rocker for those 65+ (3 months-1 year)

Clubhouse (3-4 years)

5k1 (5 years - 1st grade)

Kid's Church (2nd-5th Grade)

First Impressions (Kid's Check-In Area)

Youth Group, Wednesday nights only (6th-12th Grade)

SPIRITUAL BACKGROUND:

Have you accepted Jesus Christ as your Savior? *

How long have you been attending Heritage Church?

PERSONAL REFERENCES:

Reference #1: Name *

Do not include family members, or Heritage staff members.

Reference #2: Name *

Do not include family members, or Heritage staff members.

YOUR HISTORY:

What is your past experience serving with minors?

(Please list places and contact number)

Have you ever been convicted of a criminal offense? *

Have you ever been reported to CPS, or any other agency for exploiting or abusing a minor or a vulnerable adult? *

LIFESTYLE:

Any medical conditions the church should be aware of? *

Do you use medications that could affect your ability to work with children? *

Do you have any habits or lifestyle choices that could negatively affect the reputation of the Lord and His Church? *

(i.e. Abuse of alcohol or prescription drugs, use of marijuana or illicit drugs, sexual relations outside of a Biblical marriage between a husband and a wife)

FAVORITES:

Candy: *

Place to Eat: *

Coffee Shop and Drink: *

I AGREE. *

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I authorize any reference listed in this application to give you any information they may have regarding my character and fitness. I release all such references provided on my behalf. Should my application be accepted, I agree to be bound by the Constitution and Bylaws and Policies of Heritage Church and to refrain from unscriptural conduct in my life and in the performance of my behalf of the church.

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