Church On Sound Volunteer Profile
Children’s Ministry
CONFIDENTIAL:
This information will be treated as strictly confidential. Only those
persons having a legitimate need to know such information will have access to
this form.
Date:___________________________________
Name_____________________________________________________________________________
(Please print) Last
First
Initial
Maiden
name:___________________________________________________________________
Present Address:
_____________________________________________________________________
Last address (if less than 5
years)__________________________________________________________
Home phone:
_______________________Email_______________SS
#___________________________
Drivers Lic.#________________________________________Exp.
Date:_____________DOB________
Marital Status:
________________Spouse’s name: _________________Member:
Yes No
Children’s names/ages:
_____________________________________________________________
Occupation:
________________________________ Employer/School-_______________________
Years of regular attendance
at COS___________ What service do you attend? _________________
Name of the Church you
previously attended:_______________________________________________
How long were you
there?__________________Name of Pastor________________________________
Please give details of
previous experience of looking after/working with children, including details of
training
received_____________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
_________________________________________________________________________________
On a separate sheet of
paper, please write a testimony of how you came to know Jesus Christ as your
personal LORD and Savior. Describe your current relationship with the LORD.
Personal
References: (Not former employers or relatives)
Name:
_______________________________________________Phone Number: ___________________
Nature
of Association: ____________________________Address:
______________________________
Name:
_______________________________________________Phone Number: ___________________
Nature
of Association: ____________________________Address:
______________________________
Ministry Experiences: Please
describe your ministry experience at Church On The Sound including the person
you served under. Continue on the back of this sheet.
_________________________________ __________________________________________________________________________________
List
any ministry gifts, training, education or other factors that have prepared you
for ministry and working with children.
________________________________________________________________________________
________________________________________________________________________________
Do
you have any physical limitations that need special arrangements in working with
children’s ministry? If yes, please explain.
_________________________________________________________________
In
order to provide a safe and secure environment for our children that participate
in our programs, we need to ask the following questions. If you answer yes
please explain.
1.
Have you ever been arrested for a criminal offense excluding traffic
violations?
2.
Have you ever been accused, arrested or convicted for any abuse-related
actions? (I.e. Physical abuse; sexual abuse, or the neglect, molestation or
exploitation of a minor.)______________
If
yes to 1 or 2: Nature of offense_______________________________Date of
offense__________
We
recognize that abuse is a traumatic event in a person’s life but believes that
by God’s grace a victim can find healing. If you are a victim of abuse who has
not worked through your pain, the pastor and elders are here to assist you.
Please feel free to call.
3.
Due to occasional need for drivers, please respond: Have you ever been
convicted of a traffic offense in the past five years? If yes please describe
all convictions. __________________
___________________________________________________________________________
4.
Do you use illegal drugs?
_____________________________________________________
5.
Are there any circumstances involving your life-style or your background
that would call into question your ability to work with children, such as
cohabitating as an un-married couple? Please explain:
____________________________________________________________________
AUTHENTICITY
AND AUTHORIZATION
The
information I have given in this profile is correct and complete to the best of
my knowledge. I authorize Church On The Sound or its representatives, to make
any and all appropriate inquiries regarding my character and fitness for
children’s ministry. I release the church and its representatives from any
liability, which may result from such actions;
Signature:
__________________________________________Date: ____________________