APPLICATION FOR ADULT WORKERS IN CHILDREN’S MINISTRY
This application is to be completed by all applicants (volunteer or compensated) who are involved in the
supervision or custody of minors. This is not an employment application form. Persons seeking a position
in the Children’s Ministry, as a paid employee, will be required to complete an employment application in
addition to this screening form The purpose of this form is to help the church provide a safe and secure
environment for those children who participate in our programs and use of our facilities.
First Name________________________________ Last Name ________________________________
Home Phone ( ) __________________________ Work ( )________________________________
Cellular Phone ( ) ___________________________Pager ( )______________________________
1) Are you are a member of the church?
If yes, since when: Month________ Year________
2) Do you regularly attend services?
If yes, since when: Month___________ Year______________
3) Do you regularly attend a Bible Study or have quiet time with the Lord?
4) In what area (s) of ministry are you currently involved? ____________________ How Long? ______
5) Have you personally accepted Jesus Christ as your Lord and Savior and are you committed to having the
character of Jesus live through you?
6) Tell us about your spiritual journey to date: