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
