Students New Leader Application
PERSONAL CONTACT INFORMATION
* First Name
* Last Name
* Gender
Female
Male
* Birth Date
* Phone Number
* Email
* Address
* Address 2 (Apt/Suite # etc.)
* Are you a member of CityBridge Community Church?
Select one
Yes
No
If yes, please list your community group members.
If no, what was your previous church?
RELATIONSHIP WITH CHRIST
* Briefly describe your life before you followed Christ
* Briefly describe how you came to trust and follow Christ.
* Briefly describe how Christ has changed your life.
GETTING TO KNOW YOU
- Help us learn more about you!
* Why do you want to serve with CityBridge Students?
* What ministries have you been involved in at CityBridge?
* List your experience(s) working with children or teenagers:
* Who is your current employer and what is your position?
REFERENCES
- Please give your reference a heads up that we will email them. Please encourage them to check their spam/junk.
Personal Reference 1
- References should be Community Group members, Bible study leaders, or ministry volunteer. If not applicable, please provide trusted references who have regularly interacted with you over the past year (please do not use family members as references).
* Reference 1 - E-mail Address
Personal Reference 2
* Reference 2 - Name
* Reference 2 - E-mail Address
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
* Have you ever been reprimanded, asked to leave, or had your membership terminated from a church?
Select one
Yes
No
* If you answered YES to any of the above statements, please explain:
* Is there anything else from your past that we should know about?
* Signature
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