Children & Youth Ministry Application

CHILDREN & YOUTH MINISTRY APPLICATION

(PLEASE COMPLETE FORM IN FULL, LEAVING NO BLANKS; PRINT LEGIBILY)

______Church of the Nazarene, Address & Phone Number

We are interested in knowing more about you to help us minister together. Please return this within seven days after receiving this. We are glad you consider ______Church a place for you to minister.

Today’s Date ______Your birthday: Month____ Day____ Year____

Name______

Last First Middle

Address______Social Security #______

City, State, Zip ______Home phone ______

Email address______Business phone______Cell phone______

Driver License #______State_____ Expiration Date______

Current occupation______

Place of employment______

Marital status: Married Single Divorced Widow Spouse's name______

Name(s) of your child(ren) ______Birth date______

______Birth date______

Name(s) of others living in household ______Relationship ______

______Relationship ______

Emergency contact ______

Name Phone Relationship

Do you have a personal relationship with Jesus Christ?______

Please briefly explain? ______

When did you begin coming to ______Nazarene? ______Are you a member? ______

If not, are you planning on becoming a member?______

Have you attended or are you currently attending a membership class? ______A small group? ______

Sunday School? ______Name of Sunday School class? ______

What church services do you attend regularly?______

What age group of children and youth do you prefer leading? ______

Please tell us how you have been involved in children's and youth ministries in the past.______

______

Please help us know about your training and experience in leading children and youth. ______

______

What are your gifts or experiences you would like to share with children’s and youth ministries; including professional experience?______

______

Please tell us about your education.______

Please tell us about your occupation.______

Please list other churches you have attended in the past five years.

CHURCH NAME / CITY / STATE / PHONE / CONTACT PERSON
______/ ______/ ______/ ______/ ______
______/ ______/ ______/ ______/ ______
______/ ______/ ______/ ______/ ______

List at least one Pastoral reference from either your local Nazarene church or a previous Pastor

Pastor ______Phone ______

Address______

Pastor ______Phone ______

Address______

Personal References that are not related to you that have known you for a minimum of 2 years. We reserve the right to contact them, by either email or phone, for an accurate assessment of your character and fitness for the role you are applying for.

Name ______

Relationship ______

Email ______

Phone ______

Name ______

Relationship ______

Email ______

Phone ________

Have you ever been…

Convicted, plead guilty to, or have pending charges of using or selling drugs? ______

Convicted, plead guilty to, or have pending charges for DUI? ______

Convicted, plead guilty to, or have pending charges of child abuse or neglect? ______

Required to register with the state for any criminal offense? ______

Hospitalized or treated for alcohol or substance abuse? ______

Arrested for a criminal offense other than minor traffic violation? ______

Sexually or physically abused a minor? ______

If you have answered “yes” to any of the above, please explain or write that you would prefer talking with one of our staff. ______

______

Is there any circumstance or pattern in your life which would make it inappropriate for you to serve with minors or would compromise the integrity of LivingWordChurchof the Nazarene? If yes, please explain.______

______

PLEASE CIRCLE ANY OF THE BELIEFS OF THE CHURCH OF THE NAZARENE

LISTED BELOW THAT YOU DISAGREE WITH

We believe:

In one God - the Father, Son, and Holy Spirit.
That the Old and New Testament Scriptures, given by plenary inspiration, contain all truth necessary to faith and Christian living.
That man is born with a fallen nature, and is, therefore, inclined to evil, and that continually.
That the finally impenitent are hopelessly and eternally lost.
That the atonement through Jesus Christ is for the whole human race; and that whosoever repents and believes on the Lord Jesus Christ is justified and regenerated and saved from the dominion of sin.
That believers are to be sanctified wholly, subsequent to regeneration, through faith in the Lord Jesus Christ.
That the Holy Spirit bears witness to the new birth, and also to the entire sanctification of believers.
That our Lord will return, the dead will be raised, and the final judgment will take place.

We believe in God. Revealed as Father, Son, and Holy Spirit, He is holy love and light; eternally existent and infinite; Sovereign of the universe; holy in nature, attributes, and purpose; all-powerful, all-knowing, and ever-present.
We believe in the inspiration and authority of Scripture. We hold that the Word of God is the primary source of revelation for knowing God. Dr. H. Orton Wiley, who helped shape our theology in our formative years, wrote: "We conclude that the Scriptures were given by plenary inspiration ... in the manner that and to the degree that the Bible becomes the infallible word of God, the authoritative Rule of Faith and Practice in the Church."

We believe in the uniqueness of Jesus Christ. "Jesus answered, 'I am the way and the truth and the life. No one comes to the Father except through me'" (John 14:6). We believe that "Salvation is found in no one else, for there is no other name under heaven given to men by which we must be saved" (Acts 4:12).
We believe that, subsequent to regeneration, believers are to be entirely sanctified through the work of the Holy Spirit. We further believe that in the work of entire sanctification the believer's heart is cleansed from all sin and that the believer filled with the Holy Spirit is enabled to love God with the whole heart, soul, mind, and strength and to love others as oneself. We believe that growth in grace and the disciplines of holy living are a lifelong necessity for a life wholly sanctified to the will and purposes of God.
We believe in the Church, "the covenant people of God made new in Christ" as the visible expression of God's presence and mission in our world.

APPLICANT'S STATEMENT

The information contained in this information sheet is correct to the best of my knowledge. I authorize any references, churches, or organizations to give you information they may have regarding my character and fitness for children/youth work. I release all such references from my liability for any damage that may result from furnishing such evaluations to Church of the Nazarene. I understand that a criminal background check will be conducted. I release Church of the Nazarene from all liability and damages that may occur from the results of this information. I understand that personal information will be held confidential by the professional church staff.

Should I be accepted as part of the children's ministry team, I agree to be bound by the Bylaws and policies of ______Nazarene and to refrain from unscriptural conduct in the performance of my services on behalf of the church. Additionally, I agree to immediately report any inappropriate conduct or comments which I personally observe to Staff. [All efforts to maintain your anonymity will be made to the extent feasible.]

Name ______Date ______

Signature ______