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Application – Dreaming BIG…

Application

APPLICATION FOR ADULT WORKERS IN CHILDREN’S MINISTRY CONFIDENTIAL
This application is to be completed by all applicants (volunteer or compensated) who are involved in the supervision or custody of minors. This is not an employment application form. Persons seeking a position in the Children’s Ministry, as a paid employee, will be required to complete an employment application in addition to this screening form. The purpose of this form is to help the church provide a safe and secure environment for those children who participate in our programs and use our facilities.
[contact-form][contact-field label=’Date’ type=’text’ required=’1’/][contact-field label=’Name’ type=’name’ required=’1’/][contact-field label=’Address’ type=’text’ required=’1’/][contact-field label=’City/ State’ type=’text’ required=’1’/][contact-field label=’Home Phone’ type=’text’ required=’1’/][contact-field label=’Cellular Phone’ type=’text’ required=’1’/][contact-field label=’Are you are a member of Greater Dreams Church?’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’Do you regularly attend services?’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’Do you regularly attend a Bible Study or have quiet time with the Lord?’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’In what other area(s) of ministry are you currently involved? ‘ type=’text’ required=’1’/][contact-field label=’Have you personally accepted Jesus Christ as your Lord and Savior and are you committed to having the character of Jesus live through you?’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’Do you have experience working with children?’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’What is your reason for wanting to work with children?’ type=’text’ required=’1’/][contact-field label=’Do you have children of your own?’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’If Yes%26#x002c; what age?’ type=’text’ required=’1’/][contact-field label=’Have you ever been suspected%26#x002c; accused%26#x002c; charged%26#x002c; or alleged to have%26#x002c; or have you ever committed an act of neglecting%26#x002c; abusing or molesting a child?’ type=’radio’ required=’1′ options=’Yes,No’/][contact-field label=’Which areas are you most interested in working with? You may select more than one. (All workers will be cross-trained to work in all classrooms.)’ type=’select’ required=’1′ options=’SELECT ONE,Nursery (6- 32 mos.),Preschool (3-5 years),Elementary (6-8 years),Middle (9-12 years),Teen (13-17 years),Registration,Resource Room,Drama,Music,Crafts,Puppets,Snacks,Scheduling,Games,Curriculum,Special Events,Other’/][contact-field label=’Other’ type=’text’/][/contact-form]

REQUEST FOR CRIMINAL BACKGROUND RECORDS CHECK AND AUTHORIZATION

I hereby request and authorize the release of any information which pertains to any record of convictions contained in law enforcement files or in criminal files maintained on me, whether local, state, federal or military. I hereby release local, state, federal or military agencies from any and all liability resulting from such disclosure. (The following information is needed in order to run a background check)