First Name
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Middle Name
Last Name
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Today's Date
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Email Address
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Primary Phone Number
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Birthdate
Marital Status
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Spouse's Name (if applicable)
Number of Children (if applicable)
Ages of Children (if applicable)
Emergeny Contact Name
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Emergency Contact Phone
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In which areas would you like to serve? Select all that apply.
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How long have you been attending Sovereign Grace Church?
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Are you a member of Sovereign Grace Church?
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List any skills, training, or education that have prepared you to work with children or youth.
Please list any other Sovereign Grace Church ministries in which you are involved.
Why do you want to work with children or youth at Sovereign Grace Church?
Name
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First Name
Last Name
How long have you known the reference?
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Relationship
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Email
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Phone
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Name
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First Name
Last Name
How long have you known the reference?
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Relationship
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Email
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Phone
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1) Have you ever been convicted of a crime?
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2) Have you ever been accused, arrested, or convicted of child abuse, neglect, or a crime involving actual or attempted sexual molestation of a minor or other sexually related crime?
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3) Do you use illegal drugs?
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4) Have you ever been convicted of or plead guilty to the use or sale of drugs?
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5) Have you ever been hospitalized or treated for alcohol or substance abuse?
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6) Is there any health related reason that would keep you from effectively working with children/minors or cause any potential harm to our children?
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7) Are there any circumstances involving your lifestyle or background that would call into question your ability to work with children or youth?
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8) Have you ever had sexual relations with any minor after you became an adult?
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9) Have you ever struggled with any sin involving a child or youth?
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10) Have you ever been charged with a crime or misconduct at your workplace?
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11) Have you ever been accused of improper conduct by an employer or as a volunteer for any reason?
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12) Is there any other information that will be revealed through a background check?
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13) Do you presently have any communicable diseases?
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14) Have you ever been a victim of any form of child abuse?
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If you answered "Yes" to any of the questions above, please provide a written explanation here.
Please be prepared to discuss your answers with a pastor or ministry leader. By clicking below you agree to immediately inform Sovereign Grace Church of any subsequent information, including any accusations, convictions, or other occurrences that relate to the areas of inquiry set forth above.
VOLUNTEER STATEMENT AND RELEASE
In consideration of my role with Sovereign Grace Church, its affiliates, integrated auxiliaries and supporting organizations, and recognizing the importance of my character being above reproach, I hereby consent to the following:
I authorize Sovereign Grace Church personnel to communicate with any prior employer or organization with whom I have volunteered in the past related to work with children, minors or vulnerable adults.
In completing this Volunteer Application, I understand that information in this application will be used to determine volunteer eligibility at Sovereign Grace Church. In consideration of the receipt and evaluation of this volunteer application, I release the ministry, and its agents, from any and all liability for any damage that may result from furnishing such information to the ministry. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application, or any past employer, except as may be required by law.
I authorize any reference or organization listed in this application, as well as any past employer or volunteer supervisor, to release any information contained in files or records concerning me. I authorize any reference, organization or past employer to provide any information (including opinions) that they may have regarding my character and fitness for any volunteer opportunity at Sovereign Grace Church.
I release any individual, employer, reference or any other person or organization, including record custodians, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs or my family, on account of compliance or any attempt to comply with this authorization. This authorization specifically includes information, opinions or records related to protection of children.
I hereby waive, release, and hold harmless from liability Sovereign Grace Church, its staff, employees, volunteers, ad agents with regard to any decision that it makes on my application for involvement with Sovereign Grace Church based on the information I provide or that is obtained through the criminal history and background screening process.
I consent to a copy of the Children's Ministry / Youth Application being furnished to any reference that I have provided to Sovereign Grace Church and to any other person, organization, or entity that Sovereign Grace Church deems necessary in connection with its investigation of my background, character, or qualifications.
I understand to be able to volunteer, I will be required to consent and pass a Background Check investigation. I understand that adverse results of a Background Check, including ongoing Background Checks, could negate my current or continued volunteer opportunity.
If Sovereign Grace Church offers me a volunteer opportunity, a potential employer may contact Sovereign Grace Church or its representatives in the future concerning my volunteer record and performance at Sovereign Grace Church. Specifically, I agree that Sovereign Grace Church may share information with any future potential employer if such information relates to inappropriate behavior with moral turpitude.
I understand that I am required to notify my immediate supervisor if I am arrested, charged or accused of criminal behavior during my time of service as a volunteer at Sovereign Grace Church. To the extent required by law, this information will be kept confidential.
Acknowledgment
Acknowledgement
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Full Name
Date
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