Step 1: Application Form

Personal Information
*If you have already completed an application form on paper, please enter your name and email and proceed to the bottom of this form to get to the next step of your application.
Name *
Name
Address
Address
Date of Birth
Date of Birth
Home Phone #
Home Phone #
Cell Phone #
Cell Phone #
Work Phone #
Work Phone #
Spiritual History
Do you regularly attend (2 or more services a month)?
Are you a member?
Have you been water baptized?
Information About Your Ability to Work with Children and Youth
In order to provide a safe and secure environment for our Church’s children and youth, we believe it is necessary to ask the following questions as part of our application process. All information will be kept in confidence by church leadership and the Plan to Protect team and will not be disclosed by the church unless required by law. Answering ‘yes’ to any of the following questions may not necessarily prevent you from volunteering with the church. Thank you in advance for your understanding.
Are there any circumstances involving your lifestyle or history that could call into question your ability to work safely with children or youth in a Christian environment?
Have you ever been convicted or found guilty of a criminal offence for which a pardon has not been granted? (Note: This does not include minor traffic violations) If yes, please list offence(s) and the date(s) of conviction.
Have you ever been expelled from or had your employment terminated by any organization or employer for assault or violence against any person, or assault, violence or impropriety with children, youth or vulnerable persons?
Have you ever been investigated by the Child Welfare Agency or any other organization for suspected child abuse?
Have you ever been a defendant or respondent in a civil lawsuit or human rights complaint or other legal proceeding in which you were alleged to have abused or engaged in violence, harassment or other immoral or illegal behaviour or conduct involving children, youth or vulnerable persons?
Do you have any health concerns which could impact your ability to perform the functions of the volunteer position for which you are applying? (Please note that such health concerns may not prevent you from holding the position for which you have applied).
Do you have any contagious diseases or conditions of which we should be aware and which we may need to take steps to protect against transmission at the Church?
References
Please provide the names of three individuals, excluding relatives, who could provide a reference for you. Include at least one reference from outside the church.
1. Name of Reference
1. Name of Reference
Day Phone #
Day Phone #
Evening Phone #
Evening Phone #
2. Name of Reference
2. Name of Reference
Day Phone #
Day Phone #
Evening Phone #
Evening Phone #
3. Name of Reference
3. Name of Reference
Day Phone
Day Phone
Evening Phone
Evening Phone
Desired Ministry Area
Release of Information and Declaration of Intent
I hereby give the church consent to verify the information provided by me in this Ministry Personnel Application Form to contact the references and obtain and verify any information from them (and any other persons or sources that the Church determines might be able to provide relevant information) that may be relevant to my application. I agree to obtain and hand over a Criminal Record Check and allow the Church to keep it on file. I understand that if the church approves my volunteer application and later determines, in its discretion, at any time that I am not suitable for volunteer service in the church of for the volunteer position for which I am applying, the church may terminate my volunteer service or volunteer position for any reason without advance notice. If the church approves my application for a volunteer position, I will sign any documents that the church requires and will at all times cooperate fully with staff of the church in the fulfillment of my duties and will keep all confidential information I encounter in my role as a volunteer, confidential. If at any time I determine that for any reason I am unable to support or adhere to or follow the policies, procedures or doctrine of the church, I will inform the church and resign from my position.
I hereby acknowledge that, to the best of my knowledge, the information contained in this Ministry Personnel Application Form is true and correct.
OR
I have completed an application on paper.
*