* How long have you lived at this address? Select one More than one year Less than one year (please provide previous address)
* Preferred Contact Method Select one Phone Call Email Text
* Marital Status Select one Single Married Divorced Separated Widowed Widowed/Remarried
* Number of Children and Ages
* Are you currently CPR certified? Select one Yes No
* Are you currently First Aid Certified? Select one Yes No
* T-shirt size (Adult) Select one Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Adult XXX-Large Adult 4XL Adult 5XL
* Have you made a decision to accept Jesus Christ as your Lord and Savior Select one Yes I have No I have not I'm not sure
* Briefly share how you came to know Christ as your Lord and Savior?
* Would you feel comfortable talking to a child about salvation and leading him/her to Jesus? Select one Yes No Maybe
* List all leadership/volunteer experience you have had with children
Personal Reference(s)
* Are you currently struggling or have you ever in your past struggled with an addiction to drugs, alcohol, pornography or any other addiction? Select one Yes No
* Have you ever been convicted, or pleaded guilty or no contest to any crime? Select one Yes No
* Have you ever participated in, or been accused, convicted or pleaded guilty or no contest to abuse or any sexual misconduct? Select one Yes No
* Are you aware of having any traits or tendencies that could pose any threat to children, youth, or others? Select one Yes No
* Are you currently in a relationship with someone AND living together outside of marriage? Select one Yes No
* Have you ever been asked to step away from ministry or been asked to step down from working with children/youth in any setting, paid or volunteer? Select one Yes No
* If the answer to any of these is "Yes" please explain in detail:
* Are you willing to have Pathway run a background check on you? Select one Yes No
Applicant statement of release - I recognize that Pathway Community Church is relying on the accuracy of the information I provide on the Children/Youth Ministry Volunteer Application form. Accordingly, I attest and affirm that the information I have provided is absolutely true and correct. I authorize the organization to contact any person or entity listed on the Children/Youth Ministry Volunteer Application form, and I further authorize any such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications. I voluntarily release the organization and any such person or entity listed on the Children/Youth Ministry Volunteer Application form from liability involving the communication of information relating to my background or qualifications.Should my application be accepted, I agree to refrain from unscriptural conduct in the performance of my services on behalf of the Church. I agree to be bound by the bylaws, statement of faith and policies of Pathway Community Church. If I violate these guidelines, I understand that I have disqualified myself from any volunteer opportunities.
