Community Church Youth Ministry Volunteer Application
Dear Potential Volunteer,
The youth ministry of Community Church welcomes your
interest in serving God through working with our young people.
We are always looking for men and women with a desire to
care for and mentor our students as they explore the claims
of Christ, experience life change, and grow to full Christian
maturity.
As you can imagine, the safety of our children is a top priority
and so we must find out more about the people to whom they
are entrusted. We understand that this application is long and
quite personal; however, you can be assured that the staff of
Community will hold all information confidential. Upon receipt
of this application, we will set us a time to meet and discuss the
areas of youth ministry that interest you and let you know what
opportunities are available. We will also gladly arrange a time
for you to observe one of our classes and talk to a leader currently
serving in the ministry for which you have an interest.
We look forward to receiving your completed application. If
you have any questions or concerns, please call Terry Sullivan
at (336) 357-3360.
VOLUNTEER GENERAL INFORMATION
Date:_________________
Name:________________________________
Address:_______________________________
______________________________________
How long have you lived in North Carolina?_____________________
Home Phone_____________________________________
Work Phone______________________________________
Cell Phone_______________________________________
Email Address:__________________________________________________
Are you: ____Single ____Married ____Separated
____Divorced ____Widowed
Spouse's Name_______________________________________
BACKGROUND INFORMATION
How long have you attended Community Church?______________________
Do you attend: _____Weekend Services?
_____Wednesday Night Services?
Are you involved in a small group or Bible study?_________
Have you accepted Christ as your Lord and Savior and are you committed to showing a Christ-like example to the students to whom you are ministering?_______
Have you ever worked in a youth ministry before?_______
If yes, where?__________________________________________
How long have you worked with youth?_______________________
Have you ever had or been concerned that you might have an addiction to drugs, alcohol, pornography, or other addiction that might hinder your abilities as a youth leader? _____No
____Yes,explain:_________________________________
_______________________________________________
_______________________________________________
Have you ever been arrested, convicted of, or pleaded guilty to a crime? _____No
_____Yes, explain:____________________________________________
___________________________________________________________
___________________________________________________________
Have you ever been accused, charged, or alleged to have committed any act of neglecting, abusing, molesting, or battering any child or adult? ____No
___Yes, explain:________________________________________
______________________________________________
_______________________________________________
Have you ever been treated for a psychiatric disorder? _____No
____Yes,explain:______________________________________
____________________________________________________
Has there been any abuse in your family background that was emotional, physical, or sexual in nature? ____No
____Yes; what steps have you taken to minimize the impact of these abuses on you?
____________________________________________________
_____________________________________________________
Is there any circumstance in your life that would make it inappropriate for you to serve with minors or that would compromise the integrity of Community Church?_____________________________________________________
_____________________________________________________
_____________________________________________________
REFERENCES:
1)Name:_______________________________________________
Relationship to you:_____________________________________
Length of time known:_____________________
Home Phone:___________________________
Work Phone:____________________________
2)Name:_______________________________________________
Relationship to you:_____________________________________
Length of time known:_____________________
Home Phone:___________________________
Work Phone:____________________________
3)Name:_______________________________________________
Relationship to you:_____________________________________
Length of time known:_____________________
Home Phone:___________________________
Work Phone:____________________________
AREA OF INTEREST (please circle all that apply, along with the service time(s) you would like to serve)
Nursery: Newborn to 2 years of age
9am 11am Wed. night
Sunday TLC: 3-4yrs old
9am 11am
Wednesday TLC: 3-5/6 yrs old
Odyssey: K-5th grade
9am 11am Wed. night
Wednesday Inertia: 6th-8th grade
Wednesday MaxQ: 9th-12th grade
POSITION (Please circle)
Lead teacher
Assistant
Nursery care
Administrative
Special events planner
Chaparone
Arts (music, drama, crafts)
Other__________________________________
Applicant’s Statement:
All information contained in this application is true and correct to
the best of my knowledge. I understand that staff at Community
Church will contact my references and I authorize those
references to give any information they may have regarding my
character and ability to work with minors. I release all persons
or organizations from any liability for damages resulting from such
disclosures. I also authorize the release of any information
pertaining to records of convictions contained in law enforcement
or criminal files. I release all local, state, and national agencies
from liabilities as well.
Should I undertake a position as a youth volunteer at Community
Church, I agree to refrain from unscriptural conduct in the
performance of any duties on behalf of the Church.
Finally, I state that I have carefully read the above statement and understand it. I also understand that it is a legally binding agreement.
Print Full Legal Name: _______________________________________
Driver’s License Number & State: _______________________________________________
Date of Birth: ____________________
Social Security Number:_________________
Place of Birth: _______________________________________________________________
Former addresses (over the last 10 years) ______________________________________________________
_____________________________________________________________________________
Applicant’s Signature: _______________________________________Date______________
Parent/Guardian Signature: ___________________________________Date______________
(if applicant is a minor)
Please mail this application to: Terry Sullivan
2003 Cotton Grove Rd.
Lexington, NC 27292
You may also seal the application in an envelope directed to the
attention of The Vineyard and drop in an offering bag, or give to
one of the volunteers at the Vineyard table in Connections.
We look forward to having you join our ministry team!
The youth ministry of Community Church exists to GUIDE young people to Christ and teach them to GLORIFY God, GIVE of themselves, GATHER as one body, and GROW in God’s Word.
