Community Evangelical Free ChurchAdult Volunteer Application

Platteville, WisconsinChildren and Youth Ministries

CONFIDENTIAL

This application is to be completed by all adult applicants for any volunteer position involving the supervision or custody of minors. This is not an employment application. Thank you for helping our church provide a safe and secure environment for children and youth who participate in our programs and use our facilities.

Check desired area of ministry

 Awana  Children=s Sunday School(Pre K-6th grade)  MOPS  Nursery  VBS

 Sunday Night Youth Group  Youth Sunday School (7th-12th grades)

General Information

Name Spouse=s Name

Address City State Zip

Home PhoneWork Phone Cell Phone

Date of BirthSocial Security #

Background Information

Do you regularly attend our weekend services?  Yes  No If yes, since when?

Do you regularly attend Sunday school or a small group?  Yes  No If yes, since when?

In what church ministries are you presently participating and/or serving?

Have you personally accepted Jesus Christ as your Lord and Savior and are you committed to having the character of Jesus live through you? Yes  No 

Tell us about what God has been doing in your life within the past year.

(OVER)

Tell us why you have chosen to work with youth at our church

Has there has been alcohol abuse, drug abuse, or physical or sexual abuse in your family background? Yes  No  If yes, what steps have you taken to minimize the impact that those issues create for you? Use another sheet of paper if necessary

Education

Highest Level of Education

Name of InstitutionAddressHighest Degree CompletedYear of Graduation

References

Please provide three references (other than family members) who can identify your strengths and weaknesses and describe your background. If possible these should include a pastoral and employer reference

1.

NameStreet Address

CityStateZipHome/Work Phone

2.

NameStreet Address

CityStateZipHome/Work Phone

3.

NameStreet Address

CityStateZipHome/Work Phone

Previous Address

If you have lived at your current address for less than seven years, provide information on all addresses during that period.

Address City State Zip

Dates -

Address City State Zip

Dates-

Employment History

If you have been employed at this position for less than two years, provide information on each job during that period.

Present Employer Supervisor

Address City State Zip

Position(s) Held Full Time  Part Time

Employment Dates:StartingEnding

Previous EmployerSupervisor

AddressCityStateZip

Position(s) Held Full time  Part Time

Employment Dates:Starting Ending