Ministry Volunteer Application for Children's & Student Ministries

Please note that you will need to have contact information for three references (excluding relatives) who can speak to your character, spiritual maturity, work ethic and temperament. Please have this contact information ready before you start this form.

General Information

Name

Birthdate (Day-Month-Year)

Address

This address will receive a confirmation email

Phone

Work Status

Part Time Full Time Student N/A Retired

Ministries Applying to Serve in:

Spiritual History

Have you accepted Jesus Christ as your Saviour and Lord?

Yes No

Write a brief testimony about how you became a Christian (include a date if known) and your spiritual journey since then.

Do you attend Hillcrest Church?

Yes No Option

If yes, when did you begin attending Hillcrest? (Month/Year)

If no, where do you attend?

If you attend Hillcrest, are you a member?

Yes No

If no, are you interested in a membership class? Yes No

Have you been baptized as a believer?

Yes No

If no, are you interested in a baptism class? Yes No

List any training, education, spiritual gifts, skills and/or other qualifications you have and how you would like to use them in ministry to children/youth/vulnerable adults.

What strengths or assets would you bring to our program?

What areas of concern do you have in working with children/youth/vulnerable adults?

Describe why you would like to be a part of the ministry teams at Hillcrest.

How committed can you be to the ministries at Hillcrest?

Every week Every few weeks Once a month Less than once a month

Ministry History

Previous experience working with children/youth/vulnerable adults (list most recent experience first):

Organization:

Dates:

Responsibilities:

Organization:

Dates:

Responsibilities:

Organization:

Dates:

Responsibilities:

Church History

Churches I attended in the last 5 years are as follows:

Church:

Address:

Phone:

Dates Attended:

Church:

Address:

Phone:

Dates Attended:

Personal Information

In order to provide a safe environment for minors under Hillcrest Apostolic Church's authority, it is necessary to include the following questions as part of the application process. All information will be kept in strictest confidence. Answering yes to any of the following questions may not necessarily disallow your involvement in ministry.

Do you have a criminal record or have you ever been convicted of a criminal offence?

Yes No

Have you experienced personal abuse in any form that has better equipped you, or may hinder you, from working with minors?

Yes No

Have you used or sold illegal drugs in the past 5 years?

Yes No

Have you ever been hospitalized or treated for alcohol or substance abuse?

Yes No

Have you ever been accused, arrested or convicted for any sexually related crimes?

Yes No

Have you ever been accused, arrested or convicted for any abuse related crimes?

Yes No

Are there any circumstances involving your lifestyle or background that would call into question your ability to work with minors?

Yes No

Do you have or have you ever had any psychiatric health problems?

Yes No

Do you have any physical conditions that would prevent you from performing certain types of activities? (Playing sports, sitting on the floor, etc.)

Yes No

Are there any special issues or concerns happening in your life right now that would have an impact on your commitment and involvement in ministry? (ie. relationships, other commitments)

Yes No

If you have answered

References

Please provide three references (excluding relatives) who can speak to your character, spiritual maturity, work ethic, and temperament.

Name

Relationship to Applicant

Address

Phone

Name

Relationship to Applicant

Address

Phone

Name

Relationship to Applicant

Address

Phone

Release of Information

I give Hillcrest Apostolic Church permission to contact the people I have listed as references to determine my suitability for ministry. I give Hillcrest Apostolic Church permission to perform a personal criminal records check for the purposes of my protection against any false allegations and for the protection of those I serve. I consent to the records check with my understanding that the results will be kept confidential. The information contained in this application is correct to the best of my knowledge. I understand that my name, phone number, and email address may be published in a volunteer contact list for use within my area of service. Should my application be accepted, I agree to adhere to the Hillcrest Apostolic Church’s Child Protection Policy, the policies and procedures of Hillcrest Apostolic Church, including discipline processes.

I consent

Yes No

Today's date

Are you willing to submit to the leadership of Hillcrest Church?

Yes No

Confidentiality: Information received is confidential and is being gathered for the purposes of screening ministry personnel and
placing you into ministry that at times may put you with children/students/vulnerable adults or the knowledge of confidential information. The information gathered here will be used for the purposes of supporting the ministries at Hillcrest Apostolic Church in Moose Jaw.

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Approved by:

Date

Ministry Volunteer Application for Children's & Student Ministries

Description

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