Ministry Application Form - Adult Volunteer

For Ministries to Children, Youth, and Vulnerable Adults

Personal History

Note any specific training you may have taken

Confidential Information

In order to provide a safe and secure environment for our children, youth, and vulnerable adults, we believe it is necessary to include the following questions as part of our application process. All information will be kept confidential by church leadership (Police may access this information, under warrant, if requested). Answering yes to any of the questions may not necessarily preclude your involvement in ministry. Thank you in advance for understanding.

I Have been accused or convicted of a criminal offence involving children
I Have been accused or convicted of a sexually related crime
I Have been accused or convicted of an abuse related crime
I Have been hospitalized or treated for alcohol or substance abuse
I Have any communicable diseases
I Have recently been experiencing mental instability

Spiritual History

Please include the Name of the Church, Dates & Description of Ministry, your Ministry Supervisor and a phone number for them.

Ministry Specifics

First Reference

We ask that you do not include any relatives as references.

Second Reference

We ask that you do not include any relatives as references.

Release of Information and Declaration of Intent

I hereby give Living Hope Church Georgetown (LHC) permission to contact the persons named as references and/or past ministry supervisors to ascertain my suitability for volunteer ministry. I release all such references and LHC from liability for any damage that may result from furnishing such evaluations.

I understand that if my character or morals are deemed by LHC leadership to be inappropriate and/or criminal at any time during my volunteer service, LHC will be entitled to terminate my assistance without expressed cause or prior notice regardless of any other oral or written statement by LHC prior to, at, or following the date of volunteer service.

I understand that LHC is responsible for the welfare of any person or persons entrusted to my care. I will cooperate fully with the staff in the fulfillment of my duties and will keep all information I encounter, in my role as volunteer, confidential. If at any time I find that for any reason I am unable to support the policies, procedures, or doctrine of LHC, I will gracefully and quietly agree to resign my volunteer position.

I hereby acknowledge that the information contained in the application is correct to the best of my knowledge.
Date

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