Families [children & youth] Volunteer Application

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1 Families [children & youth] Volunteer Application So...You want to jump in and serve? It s as easy as 1, 2, 3... Here s what you need to do to begin the process: 1. Decide what ministry you are interested in (check all that apply): Volunteer Interest: Nursery [3 months 2 yrs.] Early Childhood [3 yrs. Kindergarten] Elementary [1st 5th grade] Youth [6th 12th grade] Personal 2. Fill out and turn in this Volunteer Application and send it [with 2 completed reference forms] to Children s Ministries, Cornerstone Church, Girard St., Hemet, CA Attend an interview at Cornerstone Church with Children s/youth Staff Last Name: First Name: Address: City: State: Zip: Home Phone: Cell Phone: Date of Birth: / / Marital Status: Spouse s Name: Employment: Employer: full time :: part time Education: School: Do you consider Cornerstone your home church? Y :: N How long have you attended Cornerstone? Are you a Christ follower? Y :: N If yes, when did you become a Christian? How would you describe your spiritual life right now. Is there anything you would like to share?

2 REFERENCE FORM TO BE COMPLETED BY THE APPLICANT Applicant: After completing your portion, please give this reference form, along with an envelope to a non-family member who is completing your reference. This reference form should be returned to you in a sealed envelope. Once you have received both, return your references with your completed application. Name Date of Application / / Area of Student/ Children s Ministry you are volunteering for I waive the right of access to this form and release all references from any liability for information provided in good faith. Signature Date TO BE COMPLETED BY THE PERSON GIVING THE REFERENCE The above individual is requesting to serve as a volunteer with the Children s Ministry at Cornerstone Church of Hemet. He or she has listed you as a reference and is asking for your response as a part of their application process. We are looking for mature, well-balanced Christian men and women to serve children/youth and their families within our ministry. These individuals must be flexible, cooperative, sensitive, friendly and teachable. It is important that we select these individuals who will carry out our values and guidelines. How long have you known the applicant? In what capacity? Is the applicant active in Cornerstone Church? Does the applicant display character consistent with a Biblical Christian lifestyle? Is there any past/present mental or emotional instability in the applicant? To your knowledge, has the applicant ever been accused or convicted of a crime? Of sexual misconduct? Of abuse? Of any crimes related to children/youth? How do you rate the applicant on the following (leave blank if you do not know.) Poor Fair Average Good Excellent Emotional stability Interaction with others Common Sense Dependability Tact Initiative Flexibility Ability to work with children/youth Respects authority Willingness to serve Spiritual maturity

3 Please include any comments or concerns you may have that would help us determine the applicant s suitability. Any other information that would be helpful for us to know? Is your overall recommendation that this person be accepted as a volunteer? Signature Date / / Name (please print) City Phone( ) PLEASE RETURN THIS FORM IN THE PROVIDED ENVELOPE TO THE APPLICANT. THANK YOU SO MUCH FOR YOUR TIME AND EFFORT. Cornerstone Church Children s Ministries Girard Street Hemet, CA

4 Office Use Only ID# Date BACKGROUND CHECK FORM Dear Volunteer, As you know, we are in the process of ensuring a safe place for those God has entrusted to our care by implementing a Risk Management System. As part of this system, we are requiring background checks on all those who serve with children and students who are minors. This check is strictly limited to criminal activity, and does not in any way check financial records such as personal credit history. The background check consists of three reports, but are not limited to,: the CP National Criminal File Plus and a Social Security trace and address locator. We want to assure you that our intent of these reports is to both protect you and those in our care. We also wish to assure you that the methods we take to protect your information are very important to us. Once the report is generated, the information on your release form and the reports are stored in a locked filing cabinet or in a secured database. We do not release this information to anyone and you are always welcomed to ask for a copy. If you should have questions, please do not hesitate to contact a Cornerstone Staff Member. Permission to Obtain a Background Check (This form authorizes Cornerstone church to obtain background information and must be completed by the applicant. The church must keep this completed form on file for at least three years after requesting a background check.) I, the undersigned applicant (also known as consumer ), authorize Cornerstone through its independent contractor, LexisNexis, to procure background information (also known as a consumer report and/or investigative consumer report ) about me. This report may include any traffic citations; 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 Cornerstone Church of Hemet, if such is made within a reasonable time from the date it was produced. I also understand that I may receive a written summary of my rights under the Fair Credit Reporting Act. Signature: Date: Identifying Information for Background Information Agency (Also known as Consumer Reporting Agency ) Print Name: First Middle Last Other Names Used (alias, maiden, nickname): Current Address: Street /P. O. Box City State Zip Code Dates Former Address: Street /P. O. Box City State Zip Code Dates Social Security Number: Date of Birth: Daytime Telephone Number: Gender Are you currently a volunteer or employee of Baptist Christian School? Have you ever been convicted of a felony or misdemeanor? (yes or no) (yes or no) (Revised 9/13)

5 Volunteer/Leadership Experience Have you volunteered in the past? Y :: N If yes, what church/organization? In what capacity did you volunteer? Please describe what volunteer and leadership experiences you have been involved in: Why do you want to be a volunteer? What are gifts/talents/abilities that you bring? Personal Background The questions listed below are part of our interview process in order to help provide a safe and secure environment for the ministries we serve, as well as our volunteers. All information is held strictly confidential by the Cornerstone Church Ministry Leaders and Staff. Answering yes to any of the questions may not necessarily preclude your involvement. Thank you for understanding. 1] Do you have any concerns regarding your physical ability to perform yes :: no certain tasks? 2] Do you have any emotional concerns that may interfere with your ability yes :: no to serve in any ministries? 3] Have you been hospitalized or treated for alcohol or substance abuse? yes :: no 4] Have you ever been convicted of a felony? yes :: no 5] Have you been accused, arrested, or convicted of a crime against yes :: no another individual? 6] Have you ever been convicted or accused of child abuse, sexual abuse, yes :: no molestation, or sexual misuse with a minor? 7] Are there any circumstances involving your lifestyle or background that yes :: no would call into question your ability to work with children or youth? 8] Are you currently using substances or prescription medication? yes ::: no 9] Are you currently taking medication as a part of psychological treatment? yes :: no 10] Have you ever received counseling from a mental health professional? yes :: no If you answered yes to any of the previous questions, please explain and note that answering yes does not automatically preclude you from serving.

6 Why are you excited to serve with children or youth? What are your current commitments? Please include work, school, and other commitments: Scriptural Beliefs Because we have a significant influence in the shaping of a student s spiritual life, we believe we should agree on the basics of our Christian faith. Below is a brief statement of what our church believes and teaches. If you agree with these beliefs, please sign your name below to verify that agreement. If you differ with these beliefs, and do not wish to sign the agreement, please indicate so, and in your interview we will discuss your views. Our beliefs about God and Scripture: The Bible, God s Word to us, is central to our relationship with God and each other. While there are some areas where sincere Christians agree to disagree [Romans 14:1-15:7; 2 Tim. 2:23-24; Titus 3:9], the Bible makes clear that certain truths are essential convictions of the Christian faith. Cornerstone Church of Hemet considers these to be the following: 1. THE BIBLE, consisting of the Old and New Testaments, is the verbally inspired Word of God. It is inerrant in its original writings and is the only supreme and final authority in all matters of faith and life. [John 17:4-17; 1 Cor. 14:37; 2 Tim. 3:16; 2 Peter 1:19-21; 1 Thess. 2:13] 2. GOD is one God, eternally existing in three persons: the Father, the Son, and the Holy Spirit. They are equal in divine perfection and attributes, yet execute distinct but harmonious offices in the great work of redemption. [Gen. 1:26,27; 11:5-7; Deut. 6:4; 1 Chronicles 29:11, 12; Matt. 28:19] 3. JESUS CHRIST is the true God-man. He was conceived by the Holy Spirit, born of the Virgin Mary, lived a sinless life, and was crucified for our sins. He died, was buried, and was resurrected bodily after three days. He ascended into heaven and lives there as our High Priest and Advocate. [Matt. 1:20; Luke 1:35; John 1:1,2,14; 12:45, 14:9; Acts 1:8-11; 1 Cor. 15:4; 1 Tim. 2:5; Heb. 4:14-16, 7:25; 1 John 2:1,2 4. MAN was created in the image of God. He sinned and thereby incurred physical death and spiritual death, which is separation from God. All humans are born with a SIN NATURE. [Gen. 1:26, 27; 2:7, 15-17; 3:7; Rom. 5:12-21] 5. SALVATION is entirely of grace through the work of the Lord Jesus Christ. His death was a representative and substitutionary sacrifice for our sins. All who believe in Him are justified by His shed blood, and their salvation is ETERNALLY SECURE. [Eph. 2:8,9; 2 Tim. 1:9; Titus 3:5; Heb. 7:25] I agree with the above beliefs. I understand the importance of unity among the youth leadership team. If, at any time, I question or disagree with the teaching of this church, I will make an effort to speak with a Cornerstone Church Pastor in an attempt to clarify my concerns. Applicant Signature: Date:

7 Volunteer Application Agreement The information contained in this application is correct to the very best of my knowledge. I represent that each response to the questions above are true and accurate. I understand that the information supplied to Cornerstone Church of Hemet on this application will be verified to insure that I have provided correct and accurate information. I authorize Cornerstone Church of Hemet to conduct a thorough inquiry into all areas deemed necessary to arrive at a decision to clear me for volunteer service: all educational, driving, and criminal public record information relating to my application may be examined. I authorize any of the references listed in this application to provide Cornerstone Church of Hemet with any and all information that they may have in regard to my experience within the needed position. I specifically release all personal and professional references, criminal information repositories and courts, law enforcement agencies, schools, and former employers from any liability so that they may freely and completely respond to any inquiry relating to my application for volunteer service. Should my application be accepted, I agree to be bound by and follow the leadership of Cornerstone Church of Hemet and to refrain from any unscriptural conduct in the performance of my service. Applicant Signature: Date: Please return this application and your two completed reference forms to Cornerstone Church of Hemet at Girard St., Hemet, CA att: Children s Ministries. If you have any questions about this application process, feel free to call the Cornerstone Church of Hemet offices at

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