KIDZ MIN APPLICATION

First Name

Last Name

Address

Phone Number

Email

Birthday

Marital Status
Single
Married
Divorced
Widowded

Current Employer

How Long Have You Attended SCC?
Less than 6 Months
1 year or less
1-3 years
3-5 years
5+ years

Have you taken the DISCOVER SCC class?
Yes
No
Currently taking it

Briefly describe your spiritual journey, including when you accepted Jesus Christ as your personal savior.Message

Why would you like to volunteer in Kidz Min?

Briefly describe any previous experience you have working with kids.

What area(s) of Kidz Min are you interested in volunteering? Check all that apply.
Babies
Toddlers
Pre-school
K-4

How often would you like to serve?
Once a month
Twice a month
Three or more times a month
Whenever needed

What service do you typically attend?
9:30am
11:00am

Describe any condition that my restrict you from performing certain activities involving Kidz Min.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?
Yes
No

Have you ever been arrested for or charged with a sexual offense, offense relating to kids, pornography, or crimes of violence?
Yes
No

Have you ever been accused of or the subject of a civil lawsuit involving sexual conduct, sexual harassment, or other immoral behavior or conduct involving adults or kids?
Yes
No

Have you ever been subjected to expulsion, reprimand, or other discipline by a church, denomination, or other religious organization?
Yes
No

Is there anything in your background or current life which we should know about which may incline you to be considered dangerous to kids in any way?
Yes
No

Reference 1 Name

Reference 1 Address

Reference 1 Email

Reference 1 Cellphone Number

Reference 2 Name

Reference 2 Address

Reference 2 Email

Reference 2 Cellphone Number

I affirm that I will strictly comply with all procedures of Sycamore Creek Church. If at any time I find that I am unable to support the policies and procedures or essential beliefs of Sycamore Creek Church, I will resign my volunteer position.
Yes
No

Applicant's Full Name

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