Volunteer Application: Student (under 18)

* Student First Name

* Student Last Name

* Which ministry area are you currently volunteering in or would like to start volunteering?

* Student Birth Date

* Student Gender

* Student Grade in School

* Student Address

Student Address 2 (Apt/Suite # etc.)

* Student City

* Student Mobile Phone

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* Student Mobile Carrier

* Student Email

Student Emergency Contact

References

- Please list the names of three references who know your character well. They must be 18 years or older and NOT related to you. You must provide their full contact information.

* Reference #1 Name

* Relationship Reference #1

* Phone number Reference #1

* Email address Reference #1

* How long have you known this person? Reference #1

* Reference #2 Name

* Relationship Reference #2

* Phone number Reference #2

* Email address Reference #2

* How long have you known this person? Reference #2

* Reference #3 Name

* Relationship Reference #3

* Phone number Reference #3

* How long have you known this person? Reference #3

* Email Address Reference #3

Statement of Faith & Church Involvement

- Please answer the following questions completely.

* Have you made a personal decision to receive Jesus as your Lord & Savior?

* When and how did you come to know Jesus?

* What has your journey with Jesus been like?

* Do you consider Grace to be your home church?

If yes, how long have you attended?

If no, which church do you consider to be your home church, if any?

* Are you a

* Are you involved in Student Ministry at Grace (GSM)?

* In regards to GSM, are you a

* List all leadership/volunteer experience you have had:

* Why do you desire to volunteer at Grace?

Additional Information

- Please be assured that all answers are kept confidential. We are asking these questions in order to be in compliance with our liability insurance carrier and to do our due diligence in screening those who interact with our minor students. We are committed to ensuring a safe and secure environment for all ministries. Not all affirmative responses result in exclusion from volunteering, but "yes" responses indicate a need for us to talk further. Some yes responses eliminate applicants from assuming a position of influence with minors. Please note that Indiana is a mandatory reporting state, so we are required to report any abuse or neglect to DCS.

* Have you ever been arrested, convicted, or plead guilty to a crime other than a traffic violation.

* Have you ever been accused of, charged with, alleged to have, or have you ever committed an act of neglect, abuse, molesting, or battery?

* Have you had any kind of relationship with a minor that has brought you sexual gratification?

* Have you intentionally looked at pornography?

* Have you ever been accused or convicted of possession and/or sale of controlled substances?

* Have you ever been accused or convicted of driving under the influence of alcohol or drugs?

* Do you use alcohol, tobacco, or any type of vaping product?

* Has there been any abuse in your family background with drugs or alcohol or that was emotional, physical or sexual in nature?

* If yes, what steps have you taken to minimize the impact that those issues will create for you?

* Is there any circumstance or pattern in your life which would make it inappropriate for you to serve with minors?

* Have you ever been asked to step down from working with minors in any setting, paid or volunteer?

If you answered YES to ANY of the above questions, please explain your answer below:

Grace Kids & Student Ministries Applicants ONLY:

- Grace Kids & Student Ministries Applicants ONLY:

Have you read our Child Protection Handbook?

Have you met with or will you meet with the Grace Kids Ministries Director or Student Ministries Pastor?

Statement of Agreeance:

- Please type your initials below each of the following statements to acknowledge you agree with the statements provided.

* I understand that I am representing Jesus to those who are at Grace. I agree to conduct myself in a manner that will be pleasing to Jesus.

* I understand that as a youth helper, I am here to assist the adult volunteers in carrying out the mission of Grace Church.

* I will be respectful to the leaders that I am serving with and I will look to them for guidance at all times.

* I understand that if at any time my conduct becomes less than what is expected of me, corrective action steps will be taken. These steps may include verbal warning with instruction on how to conduct myself, written warning, parental notification card, and, if necessary, dismissal from the ministry.

* The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for work with children or youth.

* By typing my name below, I am signing this application. I acknowledge that I understand the expectations that Grace Church has of me as a youth helper and I am committed to doing my best to fulfill these expectations.

* Parent's Signature:By typing my name below, I am signing this application. I am giving my son/daughter permission to volunteer at Grace Church. I acknowledge that I have fully read and understand the expectations of him/her outlined within this application.

References

Statement of Faith & Church Involvement

Additional Information

Grace Kids & Student Ministries Applicants ONLY:

Statement of Agreeance:

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