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Dear friend, Thank you for considering serving in the Children's and Youth Ministry programs of Trinity Lutheran Church. We appreciate your willingness to give your time and talents on behalf of young people. Trinity Lutheran Church is committed to providing a healthy, safe environment for every young person to whom we minister. Therefore, we screen all children ministry applicants. We believe that it is imperative to do all we can to ensure a safe environment for all young people and to protect those who work with them. We realize that some of the information we are requesting is personal in nature, and we want you to know that all such information will be held in strict confidence. If you have any questions, please feel free to contact one of us. We thank you for your service in the name of Jesus, and look forward to working with you. Sincerely in Christ,
Noah's Ark Preschool Director Youth Ministries Director Children's Ministries Director
Application
for Volunteers and Employed Staff Children
& Youth Ministry Trinity
Lutheran Church All adults are to have an application on file
prior to working in positions involving the
supervision of minors. It is being used to help the
church provide a safe and secure environment for
children and youth who participate in our
programs. Name: Date: Address: City State Zip: Home Phone: Work Phone: Date of birth Gender Drivers License#: State Exp. Previous residences (for last five years)
including city and state: Current memberships (ie. community, business,
labor, etc.) Experience working with children/youth: List any gifts, callings, training or education
you may have related to children/youth work: Name: Address: City State
Zip Phone ( )
Relationship Name: Address: City State
Zip Phone ( )
Relationship Name: Address: City State
Zip Phone ( )
Relationship Do you use illegal drugs? ( ) Yes ( ) No Have you ever been accused or convicted in a
court of law for child abuse or any crime involving
actual or attempted sexual molestation: ( ) Yes ( )
No If yes, please explain: Have you ever been convicted of any other
criminal offense? ( ) Yes ( ) No If yes, please explain: Driver's information needed for transporting
children: If yes, please explain: To the best of your knowledge is there anything
from your past that would call into questions your
being entrusted with the supervision, guidance, and
care of children and youth? ( ) Yes ( ) No If yes, please explain: The information I have given in this application
is correct and complete to the best of my
knowledge. I agree that false information or
significant omissions may disqualify me from
further consideration for service with children or
youth and may be considered justification for
dismissal if discovered at a later date. I also
authorize Trinity Lutheran Church to contact
references and to conduct background checks that
could include review of personal records such as
driving, police, etc. This information will remain
confidential. I agree to be bound by the constitution and
policies of Trinity Lutheran Church. Applicant's
Signature_________________________________________________
Date: Staff
Signature______________________________________________________
Date: |
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