Complete Legal Name *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Cell Number *

(###)

###

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Age Group Preference - Other *

Choose other age groups you are also interested in serving with:

Nursery (Birth-12 Months)

Toddler (12 Months-24 Months)

2 + 3 Year Olds

Pre-K/T-K

K- 1st Grade

2nd - 6th Grade

Plus Ministry

Wherever Needed Most

Roles Interested In *

Please check one or more

Caring for Babies (Nursery 1-2 Specific)

Small Group Leading

Large Group Leading

Teaching the Bible Story

Prepping & Leading Craft

Leading Worship

Check-In/Out & Greeting

Plus (Special Needs) Ministry

Personal Reference #1 *

First Name

Last Name

Personal Reference #1 Phone *

(###)

###

####

Personal Reference #2 *

First Name

Last Name

Personal Reference #2 Phone *

(###)

###

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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. *

I agree to the terms and conditions above*

Attended Crossroads Since *

MM

DD

YYYY

Are you a member? *

Please check one:

Yes

No

In Process

Please check the box with the following statements as they apply to you. *

I am a regular attender of Crossroads and consider Crossroads to be my home church.*

I have read and agree with the statement of faith of Crossroads Community Church.*

I have read and agree with the security policy of Crossroads Community Church.*

I choose to live my life with Scriptural integrity and be a godly role model.*

I have been convicted of or pleaded guilty to a crime. *

Yes

No

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. *

I agree to the terms and conditions above*

Required Signature *

By typing my name below, I verify that I agree to the statement(s) above.

First Name

Last Name

NexGen Ministry Covenant *

Compliance with all statements is required

I understand that my service is to God and so will maintain a life that honors Him as a godly role model for children, knowing they may see me outside of church.*

I will reflect God’s love to all children, treating each one with His love, kindness, patience, dignity, and respect.*

I will not be alone with any child outside of public view, and will ask someone else to stand in the doorway if I take a child to the bathroom.*

I will do my part to create an atmosphere of cooperation and unity with my team.*

I will submit to the mission of Crossroads and the leadership God has put in place.*

I recognize that gossip is against God’s instruction and will respect confidentiality.*

If I am unable to attend my scheduled week, I will try to switch with another volunteer and let the Point Person know who I have found to serve as a replacement in my absence.*

I will make every effort to arrive 15 minutes before the start of service.*

I will give at least 30 days notice before stepping out of a ministry role to keep my absence from negatively affecting the ministry.*

Required Signature *

By typing my name below, I verify that I agree to the statement(s) above.

First Name

Last Name

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 18 years or older working with children/youth will need to complete mandatory reporter training and live scan and turn in the NexGen/Plus Ministry Application. 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 to their Point Person, Ministry Assistant, Pastor, or Elder. 10. Point People must immediately report suspected abuse to a Pastor or Elder. 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 Elder or Pastor must immediately report suspected abuse to the Executive Pastor or Head Pastor, and contact law enforcement as needed. *

I have read a copy of and acknowledge that I am responsible for becoming familiar with and following the Crossroads' Child and Youth Abuse Prevention Policy (located in the Leader Handbook).*

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.*

First Name

Last Name