Infant / Children’s / Youth Ministry Volunteer Application

Personal Information

It is the goal of Sugar Land Bible Church (SLBC) to create a safe and secure environment for all children who participate in activities of this church. To facilitate this goal, certain essential information from individuals offering volunteer services to our children and youth must be collected. This information will be used for the sole purpose of helping the church provide a safe and secure environment for the children who participate in our programs and use our facilities, and will be kept in a secure location at all times.

Name*

First Last

Date of Birth*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email

Cell Phone

Home Phone

Work Phone

Preferred Method(s) of Contact*

Select All
Cell Phone
Home Phone
Work Phone
Email
Text

Please answer all questions that are particularly applicable to the position you are volunteering for.

Please state the position or type of youth/child work you are volunteering for:

When are you available to work?

What is the minimum length of time commitment you can make?

If the position you are volunteering for will involve driving children/youth to activities off the church campus, you must have a valid driver's license.

Yes, I may be driving children/youth to activities off the church campus.
No, the position I am applying for does not require child/youth transportation off the church campus.

Please provide your driver's license number.

Name of current employer.

Address of current employer.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you been employed there?

Supervisor's Name

Do you have any training/certification in first aid or CPR?

Is there any reason why you should not work with children or youth?*

No
Yes

Please explain.*

Have you ever been the subject of a child abuse investigation?*

No
Yes

Was the allegation substantiated?*

Have you ever been abused?*

No
Yes

Please comment.*

The leadership of Sugar Land Bible Church appreciates that the issue of abuse can be both a sensitive and painful subject for those who have been victimized. The main objective in asking this question is to provide an opportunity for the victim of abuse to find sound, biblically based help if so desired. Moreover, answering yes or leaving the question unanswered will not automatically disqualify an applicant for work with children or youth.

Would you like to talk with the staff about counseling?

No
Yes

Have you ever been convicted of or plead guilty to a criminal offense against a person?*

No
Yes

Please comment.*

Church History and Prior Experience

What is your church affiliation, if any?

How long have you been a member of/attended that church?

Please list any other churches where you may have previously been a member or attended on a regular basis.

Have you ever been a child/youth worker or volunteer before?

Yes
No

When and in what capacity?*

Please list all other childcare, teaching, or other child/youth work you have been involved in on either a paid or volunteer basis.

Please share why you have chosen to volunteer for this position and any other factors that you believe prepare you for this position.

References

At least one of these references should be an SLBC member who knows of your work with youth or children.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

How long have you known this person?

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

How long have you known this person?

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

How long have you known this person?

Infant / Child / Youth Volunteer Statement

The information contained in this application is accurate to the best of my knowledge. I authorize any references or churches listed in this application to give you any information that they may have regarding my character and fitness for children or youth work. In consideration of the receipt and evaluation of this application by SUGAR LAND BIBLE CHURCH (SLBC), I hereby release any individual, church, youth organization, charity, employer, reference or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of any kind or nature which may at anytime result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization.

Should my application be accepted, I agree to be bound by the policies of SLBC and to refrain from prohibited behaviors in the performance of my services on behalf of the church.

Consent*

I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THE RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and understand.

Applicant's Signature*

Date*

Infant / Children's / Youth Volunteer Application

Personal Information

Church History and Prior Experience

References

Infant / Child / Youth Volunteer Statement