Family Ministries Volunteer Application Family Ministries Volunteer Application Name * Email * Cell Phone * Would you like to receive text message reminders? Yes No If Yes, please list your cell phone provider I am willing to serve at: * Bedford Location Holland Location I am interested in serving in: * Kids Ministry Student Ministry (6th-12th grade) Marital Status * Single Married Widowed Divorced Remarried If applicable, Spouse's name: Is your spouse interested in serving with you? Yes No If single, do you have a roommate? Yes No If yes, is this roommate the same gender? Yes No If dating/engaged, does your significant other have a relationship with Jesus? Yes No Does your significant other attend Compelled Church regularly? Yes No Have you received Jesus as your personal Lord and Savior? * Yes No If yes, when did you make that decision? How long have you been attending Compelled? * Is Compelled your church home? * Yes No If not, where is your church home? Have you attended/completed Next step with our Lead Pastor? * Yes No Not yet, but I am willing to do so PERSONAL REFERENCE #1 (Please list references that can speak to your suitability for working with/around minors. Please do not include relatives.) Reference # 1 - Relationship to you Reference # 1 - How long have you known them Reference # 1 - Email Address Reference # 1 - Phone Number PERSONAL REFERENCE #2 (Please list references that can speak to your suitability for working with/around minors. Please do not include relatives.) Reference # 2 - Relationship to you Reference # 2 - How long have you known them Reference # 2 - Email Address Reference # 2 - Phone Number Do you use tobacco? * yes no Do you drink alcoholic beverages? * yes no If yes, how frequently? Are you clean of any illegal substance use? * yes no Have you ever been accused, civilly sued, arrested, charged, or convicted for any of the following: (please check any that apply) Possession or sale of drugs? Child neglect or child abuse Criminal sexual offenses (including but not limited to: rape, sodomy, sexual abuse/assault, sexual delinquency) NONE OF THE ABOVE If yes, please provide the date, county & state: Do you have any other criminal record? If yes, please explain: * In the last 12 months, have you actively sought out any sexually explicit material? * yes no Are you currently, or have ever been in treatment, hospitalized, or prescribed medication for any mental or emotional health disorder? * Yes No If yes, please explain with diagnosis and treatment history Is there any other fact or circumstance involving you or your background that would call into question your suitability to supervise, guide, serve, and care for minors? If yes, please explain APPLICANT'S STATEMENT: The information contained in this application is correct to the best of my knowledge. Should my application be accepted, I agree to follow and abide by the policies or Compelled Church and to refrain from unscriptural conduct in the performance of my services on behalf of the church. In signing this application (typed initials) I affirm that the information that I have given here is true and correct. * reCAPTCHA If you are human, leave this field blank.