LCH Kids Volunteer App

This application is to be completed by all Children’s Ministries staff and volunteers. It is one part of our effort to provide a safe and secure environment for the children who attend our ministries. By completing this application you authorize LCH staff to do a criminal background check. All information will be kept confidential, stored in a secured location, and used only by the leadership of Love Chapel Hill. We are so grateful for your willingness to invest your time and talents in the invaluable service of ministering to our precious children. We believe you can make an eternal difference in their lives and ultimately the kingdom of God!

Date

Name

Date of Birth

Phone

Address

Email Address

Drivers License # and State

Social Security #

Spouse and Children (if applicable)

Spiritual Growth

Briefly describe your faith journey

Are there any special issues or concerns in your life right now that would impact your commitment and involvement in children’s ministry? (e.g. relationships, other commitments, etc.)?

Children’s Ministries Gifts and Experience

What age group are you comfortable with?

Discovery: birth- 2yo Climbers: 3-6yo Explorers: 1st-5th grade Youth

Describe any experiences you've had working with children.

Special gifts and talents (storytelling, music, drams, crafts, etc.)

Personal Background Information

Please answer the following and be assured that a “yes” answer will not necessarily disqualify you from being a volunteer. If you answer “yes” to any of the following questions, please give details and explanations in the space below.

Have you ever been denied the opportunity to work with children at any other church, institution, or any other setting:

Yes No

Have you ever been convicted of child abuse or a crime involving actual or attempted sexual molestation of a child?

Yes No

Have you ever been convicted of a criminal offense, including the illegal use of sale of drugs?

Yes No

Have you ever been the subject of a restraining order?

Yes No

Have you ever been hospitalized for alcohol or substance abuse?

Yes No

Has your driver’s license ever been suspended or revoked?

Yes No

Please explain if you answered yes to any above questions and indicate any additional factors or circumstances involving you or your background which would cause a parent to be concerned or nervous about your supervising their child.

I understand that being involved in Children’s Ministries at LCH, I am making a commitment to the following responsibilities: • I will serve in a spirit of unity and loving support with our pastors and other ministry workers. • I will arrive at my place of ministry on time and well-prepared, striving to present God’s Word clearly to the children I minister to in a safe and warm environment. • I will make every effort to attend all meetings and training offered. The information contained in this application is correct to the best of my knowledge and I will do my best to fulfill the above expectations. By signing, I authorize a complete criminal background check.

Electronic Signature

LCH Kids Volunteer App

Description

Please Fix the Following