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Working with Minors Application
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Working with Minors Application
Working with Minors Application
"
*
" indicates required fields
This form is to be completed for any position, paid or volunteer, involved in the supervision or care of minors. This is being used to help provide a safe and secure environment for the minors, volunteers and the church.
Name
*
First
Last
Email
Date of Birth
*
Month
Day
Year
Current Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Have you lived at this address for at least one year
Yes
No
Previous Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Best Phone
*
Can we text you?
Yes
No
Instagram?
Yes
No
Facebook?
Yes
No
Best way to contact you?
Please upload a headshot image of yourself for your security badge
*
Accepted file types: jpg, gif, png, jpeg, Max. file size: 32 MB.
Church Participation and Spiritual Journey Statement
Are you a Covenant Member of Hope Point Church?
*
not being a covenant member does not disqualify you from serving
Yes
No
I have attended Hope Point Church since?
approximate month/year
OR
I am currently attending
church name and approximate starting month/year
I am not attending a church
please explain why
Please list all churches you have regularly attended in the past five years
please provide City/State and years attended
Which statement best describes your spiritual journey to date?
*
I am searching and am unsure as to what I believe about the promises of God.
I have recently trusted Jesus Christ to be my Lord and Savior.
I have been a follower of Christ for five or more years.
Areas of Service
The questions in this section are designed to help us match ministry opportunities with your interests and gifts. If you are not currently attending Hope Point Church, please answer using only the “Other Areas of Service.”
What age group/area of service are you interested in working?
check all that apply
Preschool
Nursery (0-2yrs)
Toddlers (2-3yrs)
Preschool (3-4yrs)
Kindergarten (5-6yrs)
Special Needs
Elementary
1st - 3rd Grade
4th - 5th Grade
Special Needs
Broadcast Students
Middle School
High School
Other Areas of Service
Childcare for Bible Study, Small group and other functions
English Crossing
Childcare for Foster/Adoptive care ministry
Other Areas of Service
please specify
Please list any previous experience, paid or volunteer, involving children or youth.
Please describe what motivates you to become involved in ministry to children or youth.
Confidential Information
The following questions are designed to help us provide a safe, loving, and secure environment for the volunteer and children/youth who attend our church. Your answers will not necessarily disqualify; however, an elder may talk with you in private, to see whether you need any assistance regarding the matter and to learn whether the findings have bearing on your ability to work with children/youth. If you prefer not to answer any of the questions in writing, you may leave them blank and an appropriate leader will talk with you personally and privately.
Do you have any legal charges pending against you and/or have you ever been arrested for, charged with, under probation for, convicted of, or pleaded guilty to either sexual or physical abuse?
*
No
Yes
I would like to discuss
Have you committed any act of neglecting, abusing or molesting any child?
*
No
Yes
I would like to discuss
Is there any circumstance or pattern in your life that would make it inappropriate for you to serve with minors or would compromise the integrity of Hope Point Church?
*
No
Yes
I would like to discuss
If yes, what we desire most for you is to experience the transforming power of Jesus Christ, where even the most difficult situations can be turned into a story of grace. HOWEVER, until the addiction has been appropriately dealt with, serving in ministry to minors is not an option. Addictions are so destructive that we urge you to seek the immediate counsel of the pastor or one of the elders. God can forgive you fully and use you greatly, but only when you seek His help with total honestly.
Is there any evidence that you may have an addiction to drugs, alcohol, pornography or any other destructive behavior?
*
No
Yes
I would like to discuss
Reference Information
Church Staff/Ministry Leader Name
*
full name
Best Contact Phone #
*
please include area code
Address
at least provide city and state
Employer/Fellow Employee
*
if not employed, answer "none"
Best Contact Phone #
please include area code
Address
at least provide city and state
Person, other than a family member, who knows you well
*
full name
Best Contact Phone #
*
please include area code
Address
at least provide city and state
Person, other than a family member, who has observed you interacting with minors
*
full name
Best Contact Phone #
*
please include area code
Address
at least provide city and state
Statement of Applicant
*
The information contained in this application is correct to the best of my knowledge.
*
I authorize any references or churches within to give you any information (including opinions) which they may have regarding my character and fitness for work with minors. I release any individual, church, 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 whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts 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 screen form.
*
Should my application be accepted, I understand that in serving as a volunteer for Hope Point Church that I am willing to abide by the policies and procedures, including those set forth to reduce the risk of child abuse in this church.
*
I also agree to refrain from unscriptural conduct in the performance of my services on behalf of Hope Point Church.
Acknowledgement
*
I attest that the statements on this application are true to the best of my knowledge.
Signature
Hope Point Church - Spartanburg, SC
X