Student Ministry Volunteer Application

Your name *

Last name

Email address *

Birthday *

Gender *

Shirt Size *

Adult Sizes

Phone Number *

Phone type

Employer *

Marital Status *

If married, spouses name

If you have children, please list names and ages.

Volunteer Areas

Please check the area of ministry you're applying for *

Middle School (Grades 6-8)

High School (Grades 9-12)

Special Needs Buddy

College Age

Please check the day(s) you are able to serve *

Sunday

Wednesday

Tuesday (College Age Only)

Church Life

How long have you attended CHCC? *

Are you involved in any group or class at College Heights such as a study, home group, etc? *

If yes, who is your teacher or leader? Optional

What areas of church are you currently serving in? *

What experience do you have working with young people? *

Christian Life

How long have you been a Christian? *

Please write a brief testimony about how and when you became a Christian: *

What is the gospel? *

Personal Life

What is your favorite drink at Starbucks? *

What is your favorite candy bar, gum, or mints? *

Walmart, Target, or Amazon? *

What talents or hobbies do you have? *

What do you feel are your passions or giftedness in working with young people? *

Please check which traits best describe you: *

Takes Charge

Goal Driven

Promoter

Enjoys Change

Avoids Conflict

Creative

Enjoys Routine

Loyal

Fun Loving

Optimistic

Self reliant

Adventurous

Reserved

Detailed

Enjoys Challenges

Orderly

Patient

Competitive

Motivator

Talkative

Persistent

Discerning

Factual

Thoughtful

Good Listener

Team Player

Self Controlled

Energetic

Firm

Legal Accountability

We believe it is our responsibility to seek adult leaders who are able to provide healthy, safe, and loving relationships. Any specific concerns can be discussed with the Ministry Staff.

Have you at any time ever:

Been arrested for any reason? *

Been convicted of, or pleaded guilty or no contest to, any crime? *

Engaged in, or been accused of, any child molestation, exploitation, or abuse? *

Are you aware of:

Having any traits or tendencies that could pose any threat to children, youth, or others? *

Any reason why you should not work with children, youth, or others? *

Character References

Please list 2 character references with who you have had sufficient contact over the past 5 years. Please do not list relatives.

Character Reference #1

Name *

Address (Please include City/State/Zip) *

Phone Number *

What is your relationship with this person? *

Character Reference #2

Name *

Address (Please include City/State/Zip) *

Phone Number *

What is your relationship with this person? *

Church References

Please list the churches where you have regularly attended within the last five years:

Church Reference #1

Church Name

Address (Please include City/State/Zip)

Years Attended:

min: 0 / max: 100

Church Reference #2

Church Name

Address (Please include City/State/Zip)

Years Attended:

min: 0 / max: 100

Additional Church Reference Information:

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I, the undersigned, give my authorization to College Heights Christian Church to contact my references. I authorize any references listed to give any information they may have regarding my character and fitness for work with minors. I release all such references from liability damages that may result from such evaluations, provided they do so in good faith and without malice. I waive any right to inspect these references.

I realize that the Christian character of people who work with students is of vital importance and I am committed to personal integrity and a growing relationship with Jesus Christ. I accept the authority of the leadership of College Heights Christian Church.

I agree to the above "Applicant's Statement" *

Applicant's Signature: (Please type your full name) *

Volunteer Application Completion Date *

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College Heights Christian Church
admin@chjoplin.org
417-624-6915