Kids Midweek Application
TEACHER APPLICATION
Thank you for wanting to serve with CB Kids Midweek Ministry. Please complete the application below.
* First Name
* Last Name
* Birth Date
* Email
* Mobile Phone
* Address
* City
* State/Province
* Zip/Postal Code
* Gender
Female
Male
* How did you hear about CityBridge Kids Midweek and why are you interested in serving with us?
* Of the CityBridge Kids Midweek shifts below, which would you be AVAILABLE to consider?
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
* Are you a Member of CityBridge
Select one
Yes
No
Unsure
* Please list all current and previous ministry experience.
TESTIMONY
- Please respond to the following questions:
On a scale of 1-10 (10 being 100% without a doubt), how sure are you that you would go to Heaven if you died today?
Select one
1
2
3
4
5
6
7
8
9
10
If God asked you why He should let you into Heaven, what would you say?
What was your life like before Christ?
How did you come to know Christ?
What has your life been like since coming to know Christ?
CRIMINAL HISTORY
* Have you ever been convicted of a criminal offense (felony or misdemeanor)? (Answer “yes” if you have entered a plea agreement including a deferred sentence or deferred judgment arrangement in connection with a criminal case):
Select one
Yes
No
* Have you ever been charged with a sexual offense, offense relation to children, or crime of violence?
Select one
Yes
No
* Have you ever been reported to any organization or registry for abuse or misconduct involving children?
Select one
Yes
No
* Do you have any disciplinary action or investigation pending by an employer, other organization, professional association, or licensing body, for violence, sexual misconduct, or misconduct involving children?
Select one
Yes
No
* Have you ever been disciplined or dismissed from any volunteer or employment position for any reason or following an allegation of sexual misconduct, physical aggression, verbal aggression, or other inappropriate behavior or conduct?
Select one
Yes
No
* Do you have any contagious disease, health issue, or history of emotional illness that would currently place children, other workers, or yourself at risk?
Select one
Yes
No
* Have you ever been reprimanded, asked to leave, or had your membership terminated from a church?
Select one
Yes
No
* Have you ever been the subject of a complaint or disciplinary proceeding concerning any professional license or professional affiliation held by you?
Select one
Yes
No
If you answered YES to any of the above statements, please explain:
* Have you ever sought out or intentionally viewed child pornography?
Select one
Yes
No
* We will conduct a background check on you. Do you have any reason to believe that such a background check would disclose any information that would suggest that you should not serve in Children’s Ministry?
Select one
Yes
No
Is there anything else from your past that we should know about?
POLICY AND PROCEDURE MANUAL & CODE OF ETHICS
READ:
Midweek Policy and Procedure Manual
- Read the Kids Midweek Policy Manual and then sign below acknowledging you have fully read this manual.
* Signature
READ:
CityBridge Kids Code of Ethics
- Please read the CityBridge Kids Code of Ethics.
* By signing below, I indicate that I have carefully read the foregoing release, know and understand the contents. I also acknowledge that all of the information I have provided is true and complete.
REFERENCES
- Please give your reference a heads up that we will email them. Please encourage them to check their spam/junk.
Reference 1
- (Church, e.g. Small Group, Community Group, or Bible Study Leader)
* Reference 1 Name
* Reference 1 - E-mail Address
Reference 2
- (Family or Personal Friend)
* Reference 2 Name
* Reference 2 - E-mail Address
Reference 3
- (Professional or Anyone)
* Reference 3 Name
* Reference 3 - E-mail Address
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