Children's Ministry Application- Teen Volunteer

It is the goal of Country Oaks to create a safe and secure environment for all children and the workers who are involved in ministry activities. To facilitate this, it is necessary to gather pertinent information from those who desire employment or offer volunteer services to our children. This form and any/all information gathered will be kept confidential and secured in a locked file.

Your name *

Email address *

Birthday *

Phone number *

Address *

Previous Volunteer Training and/or Experience *

State briefly your personal testimony. Please include when, and the circumstances surrounding your decision to accept Jesus Christ as your person Savior and to follow Him as Lord of your life. *

List any special gifts, skills, or training that might be used in ministering to children *

Do you currently attend Country Oaks Baptist Church? *

How long have you been attending Country Oaks? *

Are you a member of Country Oaks? *

Which church are you currently attending? *

Pastor's Name *

Pastor's Phone Number *

Are you currently employed? *

Previous Employer

Previous Employer's Phone

Personal History

Do you have any physical limitations that might hinder your ability to work with children? *

Do you have any past history that would be cause for concern in working with children? *

Please note, a "yes" response to this question may, but does not automatically, disqualify you from serving in Children's ministry.

Have you ever been convicted of, or pled guilty to a criminal offense? *

(including, but not limited to, drug-related charges, child abuse, other crimes of violence, and theft)

Personal References

Please list three personal references (PEOPLE WHO ARE NOT RELATED TO YOU BY BLOOD OR MARRIAGE) and provide complete contact information for each.

Reference Name 1 *

Phone Number *

Email Address *

How long have you known this person? *

Reference Name 2 *

Phone Number *

Email Address *

How long have you known this person? *

Reference Name 3 *

Phone Number *

Email Address *

How long have you known this person? *

I agree that Country Oaks may contact me regarding my application and I have filled this form out to the best of my ability.