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CC Kid's Volunteer Application

This form is to be completed by all adults involved in the supervision or custody of minors. To facilitate a safe and secure environment for all children, students, volunteers; it is necessary to gather pertinent information from those who work within our ministries. This information will be used for the sole purpose of helping Christ Chapel Church NextGen team to provide a safe and secure environment for all children, students, volunteers, staff and families of Christ Chapel Church.

Your name *

Last name

Email address *

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

Birthdate *

Gender *

When is the best time to contact you

Morning

Afternoon

Evening

Marital status *

Ministry Information

How long have you attended Christ Chapel? *

Less than 6 months

6 months - 1 year

1-3 years

3-5 years

over 6 years

Are you currently serving in any other ministry areas? *

Yes

Area(s) of ministry you are currently serving with:

Ministry Preference: (Check all that apply) *

Nursery Team (3 months - 2 years old)

Preschool Team (3 and 4 year olds)

Elementary Team - Large Group Teacher

Elementary Team - Small Group Leader

Elementary Team - Production (sound, A/V, lighting, stage hand, etc.)

Elementary Team - Sunday School

Elementary Team - Worship Team

Dream Team - Greeter/First Impressions

Dream Team - Check-In

Dream Team - Kid's Security Team

Dream Team - Set-up and/or Tear-down

Administration or Office

Special Events Childcare needs (rotational)

Media (Social Media, YouTube, photography, etc.)

Kid's Summer Camp

Midweek Elementary - Wednesday Nights

Serve Frequency *

Once a Month

Bi-weekly (First and Third week)

Bi-weekly (Second and Fourth week)

Weekly

Other

Today's date: *

Background Check

Do any of the following apply to you? Please check any statements that apply.

If one or more of these apply to you, a staff member will contact you to listen to more details about your situation. This does not automatically exclude you from serving on our team. Every situation is handled on a case by case basis.

Background Check Questions *

I have been convicted of the use or sale of illegal drugs.

I currently use illegal drugs.

I have been treated for, or struggled with alcohol or substances abuse.

I have been charged with a misdemeanor or felony.

I have a health concern that could place students of Christ Chapel Kids at risk.

I have been denied legal custody of my children in any legal proceeding including divorce decrees or settlements.

I have been investigated by DCFS and have lost placement of my child(ren) or dependent(s) as a result of their investigation.

None of the above options apply to me.

References

Please provide 2 references (non-relative) and/or pastoral reference.

Reference 1: *

Please provide the following: First and Last name, email address, and phone number

Reference 2: *

Please provide the following: First and Last name, email address, and phone number

Signature (Type out full legal name)

I WANT TO SERVE! *

Thank you for filling out an application to serve at Christ Chapel Kids! We will be in contact with you soon.

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Christ Chapel Church
info@christchapel.org
703-670-8481