Author: Synod Resource Center

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
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
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
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
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
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