HamptonRoadBaptistChurch
Volunteer Ministry Application
This application is to be completed by all those desiring a ministry position involving the supervision or custody of minors. It is used to help the church provide a safe and secure environment for the children and youth who participate at HamptonRoadBaptistChurch.
Name: ______Birth date: ______
Address:______
How long at this address? _____ If less than five years, give previous address and number of years below:
Previous Address: ______Years: ______
[ ] Male [ ] FemaleBirthday _____/_____/_____Home Phone: (______) ______
Cell Phone: (______)______Work Phone: (______) ______Best time to call: ______
E-mail Address: ______
Marital Status: ______Spouse’s Name: ______Number of Children: ______
Emergency Contact: ______Phone number: (______) ______
Occupation: ______Place of Employment: ______Number of Years: _____
Employment/Volunteer history of the last five years:
Employer’s Name: ______Phone Number: (______) ______
Employer’s Name: ______Phone Number: (______) ______
Employer’s Name: ______Phone Number: (______) ______
Do you have a relationship with Jesus Christ? ______Briefly describe: ______
______Date of Baptism: ______
How long have you attended HamptonRoadBaptistChurch? ______
Are you involved in Sunday School and/or Discipleship Training? ______
List any leadership/volunteer experience you have had with children: ______
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List any training or education that has prepared you to work with children: ______
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List any other areas of ministry in which you are involved at HamptonRoadBaptistChurch: ______
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Age/Grade Preference:
[ ] Babies to 23 months[ ] 2 and 3 year olds[ ] 4 and 5 year olds
[ ] Grades 1 and 2[ ] Grades 3 and 4[ ] Grades 5 and 6
[ ] Grades 7 through 9[ ] Grades 10 through 12
Hour preference:
[ ] Sunday School[ ] Sunday Evenings[ ] Wednesday 7:30 PM
[ ] Special Events[ ] Summer Sponsor
List Personal References (Must be 18 years old and not related to you):
Name: ______Relationship: ______
Address: ______Phone Number: (______) ______
Name: ______Relationship: ______
Address: ______Phone Number: (______) ______
Name: ______Relationship: ______
Address: ______Phone Number: (______) ______
The questions below are part of the process to help provide a safe and secure environment for our children. All information is held strictly confidential by the church staff. It is our desire to work with you to find a ministry that is fulfilling and suited to your strengths and experiences.
Have you had any experiences that might make it difficult for you to minister to children at HRBC? _____
Have you ever been accused or convicted of the use or sale of illegal drugs? _____
Have you ever used illegal drugs? _____
Have you ever been hospitalized, treated for, or struggled with alcohol or substance abuse? _____
Have you ever been charged with a misdemeanor or felony? ______
Have you ever been sexual abused (as an adult or child)?______
Have you ever been involved in an inappropriate relationship with a child?______
Have you ever been asked to leave a volunteer/employment position dealing with children or youth?____
Are you engaged in any conduct that is contrary to the teachings of the Bible? ______
Do you have any health issues that could place the children of HamptonRoadBaptistChurch at risk? ______
Have you ever been denied legal custody of your children in any legal proceedings including divorce decrees or settlements? _____
We conduct police background checks on all applicants. Do you have any objections? ______
If you answered yes to any of the questions listed above, please explain briefly: ______
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Applicant’s Statement
I hereby authorize HamptonRoadBaptistChurch to complete a national background check and verify all information contained in this application with any references, past or present employers, any other appropriate personnel at my present or past employers, churches or other organizations and any individuals to disclose any and all information to HamptonRoadBaptistChurch. I release all such persons or entities from liability that may result or arise from HamptonRoadBaptistChurch’s collections of all such evaluations or information or its consideration of my application.
HamptonRoadBaptistChurch Leaders Commitment
Having committed to our leadership ministry and the habits essential for spiritual maturity, and having attended leadership orientation, I will commit to:
- Read and practice the security measures in place at HamptonRoadBaptistChurch.
- Prepare for ministry by growing in my personal relationship with Christ.
- Support the leadership by praying for my fellow Preschool and Children’s Ministry Staff.
- Personal growth and education by participating in our leadership development courses offered throughout the year.
Should my application be accepted, I agree to follow the policies of HamptonRoadBaptistChurch and to refrain from unscrirptural conduct in the performance of my services on behalf of the church.
I understand that the personal information will be held confidential by the church staff.
Applicant’s signature: ______Date: ______
Name (printed): ______Nickname: ______
Birth date: ______
Checklist
(To be completed by staff)
Background Check-Local: ______State: ______National: ______
Orientation attended: ______Date: ______
Interview date: ______By: ______
Reference Checks: ______
Placement: Hour/Age: ______Position: ______Start date: ______
Comments: ______
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End date: ______Reason for leaving: ______
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What Floats you boat?
Name: ______Birthday:______
What motivates you? ______
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A Daily encouragement for me would be: ______
______
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If I had all day to do something for myself I would: ______
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The most fun I ever had was when: ______
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My favorite hobby is: ______
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My greatest passion in life is: ______
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The greatest strength I possess is: ______
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One area I am growing in is: ______
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