COLE COMMUNITY CHURCH This application is to be completed by all workers who are seeking a volunteer ministry position at Cole Community Church. This is not an employment application form. It is first, an application to assist the church staff in establishing ministry teams. Secondly, it is a screening form used to help Cole Community Church provide a safe and secure environment for those students who participate in our programs and use our facilities. Thank you for your understanding of the necessity of such a form. If you have any questions, please contact the Youth Pastor or Ministry Assistants. Cole Community Church 8775 Ustick Road Boise, ID 83704 Phone 208.375.3565
I have received a copy of the Cole Community Church Student Interaction Policy and have read the attached policy and agree to observe the safeguards and procedures listed. This is a legally binding agreement that I have read and understand. Applicant s Name (Please print): Applicant s Signature: Date
Personal Data Date Last Name First Middle Maiden Name Address City State Zip Home Phone Work Phone Cell Phone Date of Birth (month day year) e-mail Current driver s license number and state of issue Social Security Number Confirmed by (Please sign and print) Identity must be confirmed with a state driver s license or other photographic identification. Date Christian Walk and Ministry Interest Please share how you came to know Jesus as your Savior and how you are now growing spiritually: What ministry opportunities are you interested in? (Check all that apply) Junior High Youth Senior High Youth"" Other (please describe below): Please indicate the date you would be available to begin: Will you commit to regular ministry training? Yes No
Church History and Prior Work with Children Do you regularly attend Cole Community Church? Yes No How long have you attended Cole Community Church? Years Months List all churches (including Cole Community Church) that you have attended during the past five years: Church Name Pastor s Name Years Attended Phone List all previous church work involving children, youth or adults (please list each church s name and address, the type of work performed, supervising pastor/lay person and dates of service): List all previous non-church work involving children, youth or adults (list each organization s name and address, type of work performed, supervisor s name and dates of service): List any gifts, callings, training, education, or other factors that have prepared you for ministry:
Legal Information Yes No Have you ever either pled guilty or no contest to, or been found guilty of, any misdemeanor, other than a speeding or parking violation. Yes No Have you ever either pled guilty or no contest to, or been found guilty of, a felony? Yes No Have you ever neglected, abandoned, sexually abused, or physically abused any child under the age of 18 years or ever been accused by anyone of having done so? Yes No Are you aware of having any traits or tendencies that could pose any threat to children, youth, or others? Yes No Have you ever been accused by anyone of engaging in sexual harassment or inappropriate sexual conduct? Yes No Have you ever been asked to leave a church or otherwise terminate your voluntary service of any other program? If the answer to any of the above questions is yes, please explain in detail. Please use an additional sheet of paper if necessary. References: List Two Personal References on the reference form from current church members (not former employers or relatives).
Applicant s Statement The information contained in this application is correct to the best of my knowledge. I authorize, by my signature below, any of the churches, organizations or reference I have listed to give you any information (including opinions) that they may have regarding my character and fitness for youth work. I also submit to and authorize Cole Community Church to contact law enforcement officials to screen local and national records using my name and all related personal data I have provided in my application. In consideration of the receipt and evaluation of this application by Cole Community Church, I hereby release any and all persons or organizations providing or using the information from any and all liability for damages that may result due to compliance or an attempt to comply with this authorization. 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. I understand that if there are allegations of my having committed improper behavior, I will be required to step down from my responsibilities until such time as the Board of Elders allows me to resume those responsibilities, even if I contend I did not behave improperly. Should my application be accepted, I agree to abide by the policies of Cole Community Church and to refrain from unscriptural and illegal conduct in the performance of my services on behalf of the church. I have carefully read and agree to abide by the Child Interaction policy of Cole Community Church and to protect the health and safety of the youth at all times. I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and understand. Applicant s Signature Date Applicant s Name (Please print) Witness Signature Date Witness Name (Please print)