Todays Date: ______________________
Arvada Covenant Church
Adult Application Form
All information obtained will be kept confidential and will only be used to determine if the applicant
is qualified to volunteer in the Children’s Ministry at ACC.
Full Name: _____________________________________
Street Address: ____________________________________ City: _________________
State: ________ Zip Code: ______________ Phone Number: ____________________
E-Mail Address: ________________________________________________________
Circle one: Male or Female Family Status: Married or Single Number of children ____
Please answer the following questions:
Give a brief testimony of your salvation experience:
What specific gifts, talents, interests and experience do you have in working with children?
What draws you to volunteer to serve in this area of ministry?
Do you attend Arvada Covenant Church? _______________
If no, where do you attend? ______________________________________________
Have you ever been convicted of or plead guilty or no contest to any criminal offense of any
If yes (other than a minor traffic offense), please provide all details: ____________
Have you ever participated in, or been accused, convicted or plead guilty or no contest to child
abuse, molestation, or any improper conduct involving a minor? ______________