NAME:
________________________
CHURCH ACTIVITY
Name of church where you are a member: _______________________________________________
List churches (name and address) you have attended regularly during the past five years:
_________________________________________________________________________________
_________________________________________________________________________________
List all previous work involving children/youth. Identify the church and the type of work:
_________________________________________________________________________________
_________________________________________________________________________________
List any gifts, callings, training, education or other factors that have prepared you for
children/youth work:
____________________________________________________________________________
What type of children/youth work do you prefer? __________________________________________
Within the area of ministry where do you feel the best place for you would be?
Leading Volunteers Teaching Children Assisting Teachers Greeting Hospitality
Other: ____________________________________________________________________________
When and how often are you available to serve?
Wednesday 7:00 Sunday 8:00 Sunday 9:00 Sunday 11:00 Morning Grace Other:
________________________________________________________________________________________________
Minimum length of commitment?
___________________________________________________________
*No volunteer should be considered for any position involving contact with children or youth until the candidate
has been involved with this church for 6 months (unless authorized by senior pastor). You may begin the
application process after two months of regular attendance at the church.
PERSONAL REFERENCES
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City, State & Zip: _____________________________________________________________________
Telephone: __________________________________________________________________________
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City, State & Zip: _____________________________________________________________________
Telephone: __________________________________________________________________________
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
City, State & Zip: _____________________________________________________________________
Telephone: __________________________________________________________________________