* Denotes Required Field
* Title
Personal Information
* Full Name
* Address / City / Postal Code
* Preferred Phone #
( ) -
* Email
* Birthdate
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* Grade
* Occupation
* Present Employer
* Employer's Phone
( ) -
Last Employer
Last Employer's Phone
Hobbies, Interests, and Skills
Spiritual History
* How long have you been attending Cloverdale Baptist Church?
* When did you accept Christ as your Saviour?
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* Date of baptism
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List any gifts, training, education, or other qualifications that you believe you have, that have prepared you to minister to children
* In a brief paragraph, please outline your spiritual journey
Why would you like to be a part of our Children's Ministry?
Do you see yourself as a team player? Please explain:
*Please check the area(s) of ministry in which you would like to serve (required):
Nursery
Preschool Teacher
Gradeschool Teacher
Security
Greeter (Computer Check-in)
Awana
Preschool Helper
Gradeschool Helper
Other
* Area:
Churches I have attended in the last five years:
Name of Church
Phone
( ) -
Address (please include city)
Dates Attended
Name of Church #2
Phone
( ) -
Address (please include city)
Dates Attended
Ministry Experience: Previous and Present
Name of Church/Organization
Dates
Pastor or Supervisor
Phone
( ) -
Name of Church/Organization #2
Dates
Pastor or Supervisor
Phone
( ) -
References
* Name of Reference #1
Address (please include city)
* Preferred Phone #
( ) -
How long have you known this person?
Nature of Relationship
* Name of Reference #2
Address (please include city)
* Preferred Phone #
( ) -
How long have you known this person?
Nature of Relationship
* Name of Reference #3
Address (please include city)
* Preferred Phone #
( ) -
How long have you known this person?
Nature of Relationship
Ability to Work with Children
In order to provide a safe and secure environment for our church’s children and youth, we believe it is necessary to ask the following questions as part of our application process. All information will be kept in confidence by church leadership and the Safety & Risk Management team and will not be disclosed by the church unless required by law. Answering ’yes’ to any of the following questions may not necessarily prevent you from volunteering with the church. Thank you for your understanding.
1. Are there any circumstances involving your lifestyle or history that could call into question your ability to work safely with children or youth in a Christian environment (e.g. use of pornography, illegal substances, etc)?
2. Have you ever been convicted or found guilty of a criminal offence for which a pardon has not been granted (Note: This does not include minor traffic violations.) If ‘yes’ please list offences(s) and the date(s)
* List offence(s) and date(s):
3. Have you ever been expelled from or had your employment terminated by any organization or employer for assault or violence against any person, or for assault, violence or impropriety with children, youth or vulnerable person (e.g. senior citizens or persons with disabilities)?
4. Have you ever been investigated by the BC Ministry of Children & Family Development or any other organization for suspected child abuse?
5. Do you have any health concerns which could impact your ability to perform the functions or the volunteer position for which you are applying?
6. Do you have any contagious diseases or medical concerns of which we should be aware, and of which we may need to take steps to protect against transmission should you volunteer at the church?
*
I hereby acknowledge that, to the best of my knowledge, the information contained in this Ministry Personnel Application Form is true and correct.