Forms for Youth Workers and Volunteers

From the Open Files of: NW Synod of Wisconsin Resource Center (715) 833-1153 Contributed by: Trinity Lutheran Church, Eau Claire, WI This file is available in Rich Text Format version for editing

TRINITY LUTHERAN CHURCH CONTENTS OF FORMS Covenant for Children's and Youth Ministry Reference Contact Form Interview Guidelines for Volunteers and Employed Staff Suspicion of Abuse Report Form Authorization to Administer Medication   TRINITY LUTHERAN CHURCH [ TOP ] COVENANT FOR CHILDREN'S AND YOUTH MINISTRY We ask that you read the following information and reflect on the role you are ready to fill. We provide this covenant so that you can show your commitment to the ministries of Trinity Lutheran Church. I believe that each child is unique and a wonderful gift from God. I will do my best to make Trinity Lutheran Church a place where children and youth will grow in Bible knowledge, develop friendships, and most of all strengthen their relationship with Jesus Christ. I will be a role model to them with full commitment to the task that I have accepted. I will give the position the time it deserves such as attending worship and meetings, preparing and teaching and joining in fellowship. I have completed the application form and have read the GUIDELINES FOR PROTECTION OF CHILDREN, YOUTH AND THOSE WHO WORK WITH THEM. I will notify the ministry leader if I cannot fulfill this commitment so that a transition to a new person can be made.   ______________________________________ ____________________________ Signature Date   We at Trinity Lutheran Church appreciate the commitment you are making and we are eager for you to serve and grow in the body of Christ. If at any time you need support, please speak to your ministry leader or ministry director. Thank you for your willingness to serve.     TRINITY LUTHERAN CHURCH [ TOP ] REFERENCE CONTACT FORM Record Of Contact With A Reference Identified By Applicant For Youth Or Children's Work The information in this application will be disclosed only to those who have a genuine need in order to carry out their responsibilities for Trinity Lutheran Church. PLEASE PRINT Name of person and organization (if applicable) Name of applicant Date of contact Person contacting the reference Method of contact (phone, letter, personal) Summary of comments (summarize the reference's or minister's remarks concerning the applicant's fitness and suitability for youth or children's work)               Signature of Interviewer Date   TRINITY LUTHERAN CHURCH [ TOP ] INTERVIEW GUIDELINES FOR VOLUNTEERS AND EMPLOYED STAFF To be used to assist in interviewing volunteers. May use all or parts of the outline. 1. Introduction: Open with prayer. Introduce yourself, your role and purpose for the meeting: A. Getting to know each other - applicants background. B. Communicate ministry philosophy. C. Become informed of the individual. D. Discover applicant's gifts, skills. E. Inform of the roles available. 2. Relational; tell me about yourself. A. Birthplace. B. Family background. C. Occupation. D. Present family. E. How you became a Christian. F. Ministry background. 3. Our Ministry. A. Nature of ministry. B. Facts about ministry. Who, why, when, where. C. Common Commitments: 1). To develop character through Bible Study 2). To be a team player 3). To love the Lord; be a good example 4). To be partners with families 5). To be reliable, prompt, prepared, responsible 6). To protect our children/youth through awareness of our guidelines 4. Questions. A. Special areas of interest. B. Why this age group? C. What related experiences do you have? D. Any fears related to church ministry? E. Mention two strengths; two weaknesses. F. Assurance of God's grace and support. 5. Wrap Up. A. Any questions. B. Prayer.   TRINITY LUTHERAN CHURCH [ TOP ] SUSPICION OF ABUSE REPORT FORM Date (PLEASE PRINT) Child's Name Parent's Name Address Phone Describe the suspected abuse, being as specific as possible             Other persons involved           Signature of person reporting__________________________________________Date Signature of director or leader__________________________________________Date Date remitted to administrative pastor or council president Date reported to social services and by whom   TRINITY LUTHERAN CHURCH [ TOP ] AUTHORIZATION TO ADMINISTER MEDICATION   I hereby authorize administration of the following medication(s) to my child. PLEASE PRINT   Name of Child Date of Birth Medication Dosage Time Dates for Medication to be Given Special Administration Instructions                 Signature of Parent/Guardian Date

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