NexGen Ministry Volunteer Application

PART 1: PERSONAL INFORMATION
Complete Legal Name *
Complete Legal Name
Birthdate *
Birthdate
Cell Number *
Cell Number
Address *
Address
PART 2: Area of Interest
Age Group Preference - Other *
Choose other age groups you are also interested in serving with:
Roles Interested In *
Please check one or more
Please indicate any gifts, training, skills, education, etc. that have prepared you to work in children’s ministry. Any non-church work involving children? Which organizations? Type of work?
PART 3: Personal References:
Personal Reference #1 *
Personal Reference #1
Personal Reference #1 Phone *
Personal Reference #1 Phone
Personal Reference #2 *
Personal Reference #2
Personal Reference #2 Phone *
Personal Reference #2 Phone
The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for working with children. *
PART 4: History in the Church
Briefly describe becoming a Christian.
Attended Crossroads Since *
Attended Crossroads Since
Are you a member? *
Please check one:
List all other churches you attended regularly in the last five years. Briefly include service involving children or youth at these churches.
PART 5: Applicant's Statements
Please check the box with the following statements as they apply to you. *
I have been convicted of or pleaded guilty to a crime. *
Prior convictions concerning children will prevent me from serving in children’s ministry.
Should my application be accepted, I agree to be bound by the bylaws and policies Crossroads Community Church and to refrain from unscriptural or unlawful conduct in the performance of my services on behalf of the church. *
Required Signature *
Required Signature
By typing my name below, I verify that I agree to the statement(s) above.
PART 6: MINISTRY COVENANT ACKNOWLEDGEMENT
NexGen Ministry Covenant *
Compliance with all statements is required
Required Signature *
Required Signature
By typing my name below, I verify that I agree to the statement(s) above.
PART 8: Child and Youth Abuse Prevention Policy Acknowledgement
Crossroads has adopted a Child and Youth Abuse Prevention Policy to protect children and youth, as well as those who work with them from incident and false accusations. All volunteers and paid staff at Crossroads who work with children or youth are Mandatory Reporters and are expected to become familiar with and follow this policy. *
Crossroads has the following policy in place: 1. Anyone working with children/youth must have attended Crossroads Community Church a minimum of three months. 2. Anyone working with children/youth will receive a packet to complete, sign, & turn in: A. Children's Ministry Application or Youth Ministry Application B. Permission for Background Check C. Child and Youth Abuse Prevention Policy (read & keep, then turn in signature page) 3. Anyone seeking to work with children/youth will meet with a ministry leader. 4. No person may be alone out of view with any child/youth except their own (volunteer/staff may ask a parent to wait in class until 2nd person arrives). 5. No person may be alone in the bathroom with any child except their own (another person must have their foot in the door or one leader may wait outside the door for the child). 6. Anyone working with children/youth will have an unrelated person in the room or there must be clear visibility to passersby. All classes are open to observation at any time. 7. Physical contact with a child is limited to shoulder hugs, high 5's, fist pushes, & head pats. Younger children may be carried or sit on a worker's lap if other people are present. 8. Anyone who would like to observe in a classroom or stay with their child and is not scheduled to serve in the classroom must obtain permission from NexGen leadership before entering the classroom. 9. Assistants, teachers, or small group leaders must immediately report suspected abuse (see back of page for symptoms of possible abuse) to their Point Person, Ministry Assistant, Pastor, or Elder. 10. Point People must immediately report suspected abuse to the NexGen Pastor. 11. Anyone who observes abuse of a minor will take appropriate steps to immediately intervene and provide assistance. Any inappropriate conduct must be reported to the proper authorities at Crossroads for handling. 12. The Director or Pastor must immediately report suspected abuse to the Senior Pastor or an elder, who would contact law enforcement as needed.
Required Signature *
Required Signature
By typing my name below, I verify that I agree to the statement(s) above.
PART 9: Background check
I authorize the church to obtain background information and must be completed by the applicant. The church must keep this completed form on file for at least five years a er requesting a background check. In the interest of providing a safe and secure environment for both children and workers, I, the undersigned applicant, authorize Crossroads Community Church through its independent contractor to procure background information about me, prior to, and at any time during, my service to the organization. This report may include a social security number verification; present and former addresses; criminal and civil history/records; and the state sex offender records. I understand that I am entitled to a complete copy of any background information report of which I am the subject upon my request to Crossroads Community Church, if such is made within a reasonable time from the date it was produced. I also understand this form contains confidential information that will be protected against unauthorized access. Only church staff will have access to the following information.
SOCIAL SECURITY NUMBER
DRIVER LICENSE NUMBER
Required Signature *
Required Signature
By typing my name below, I verify that I agree to the statement(s) above and verify that all information provided is true and correct to the best of my knowledge.*