* Student Gender Female Male
* Student Grade in High School Select one 9th Grade 10th Grade 11th Grade 12th Grade
* Preferred Contact Method Select one Phone Call Email Text
* T-shirt size (Adult) Select one Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Adult XXX-Large
* Have you made a personal decision to receive Jesus as your Lord and Savior? Select one Yes I have No I have not
* When and how did you come to know Jesus? What has your journey with Jesus been like?
* 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)
* Why do you desire to volunteer in KidCity
* Have you ever been arrested, convicted, or pleaded guilty to a crime more serious than a traffic violation? If yes, please explain
* Have you ever been accused of, charged with, alleged to have or have you ever committed an act of neglecting, abusing, molesting or battering any child or adult? Or have you had any kind of relationship with a minor that has brought you sexual gratification? If yes, please explain
* Have you ever been accused or convicted of possession and/or sale of controlled substances or of driving under the influence of alcohol or drugs? If yes, please explain
* Are you using illegal drugs? Select one Yes No
* Have you ever been or are you currently being treated for a psychiatric disorder? Select one Yes No
* 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 or would compromise the integrity of Pathway Community Church? If yes, please explain
* Have you ever been asked to step away from ministry or been asked to step down from working with students or children in any setting, paid or volunteer? If yes, please explain
* All youth volunteers must have a youth covenant on file and have a name badge before being permitted to serve. I understand that I cannot bring a friend who is not screened to serve in KidCity Select one Agree Disagree