Children's Ministry Application - Master's Bible Church

Phone number *

Birthdate *

Marital Status *

How long have you been attending Master’s Bible Church? *

Are you a member of Master’s Bible Church? *

YES

NO

I'M ACTIVELY PURSUING MEMBERSHIP (Taking classes & filling out the membership application)

List any skills, training, or education that have prepared you to work with children.

Why do you want to work with children at Master’s Bible Church? *

Are you currently CPR certified? *

YES

NO

PERSONAL REFERENCES

REFERENCE 1 (over 18 & not related to you) *

Full Name ___________________________________
How long have you known the reference? ___________________________________
Relationship ___________________________________
Email ___________________________________
Phone # ___________________________________

REFERENCE 2 (over 18 & not related to you) *

Full Name ___________________________________
How long have you known the reference? ___________________________________
Relationship ___________________________________
Email ___________________________________
Phone # ___________________________________

INTERVIEW QUESTIONS

1) Have you ever been convicted of a crime? *

YES

NO

2) Have you ever been accused, arrested, or convicted of child abuse, neglect, or a crime involving actual or attempted sexual molestation of a minor or other sexually related crime? *

YES

NO

3) Do you use illegal drugs? *

YES

NO

4) Have you ever been convicted of or plead guilty to the use or sale of drugs? *

YES

NO

5) Have you ever been hospitalized or treated for alcohol or substance abuse? *

YES

NO

6) Is there any health related reason that would keep you from effectively working with children/minors or cause any potential harm to our children? *

YES

NO

7) Are there any circumstances involving your lifestyle or background that would call into question your ability to work with children? *

YES

NO

8) Have you ever had sexual relations with any minor after you became an adult? *

YES

NO

9) Have you ever struggled with any sin involving a child or youth? *

YES

NO

10) Have you ever been charged with a crime or misconduct at your workplace? *

YES

NO

11) Have you ever been accused of improper conduct by an employer or as a volunteer for any reason? *

YES

NO

12) Is there any other information that will be revealed through a background check? *

YES

NO

13) Do you presently have any communicable diseases? *

YES

NO

14) Have you ever been a victim of any form of child abuse? *

YES

NO

I agree to immediately inform Master’s Bible Church of any subsequent information, including any accusations, convictions, or other occurrences that relate to the areas of inquiry set forth above. *

HANDBOOK - POLICIES & PROCEDURES

Find it here (you will need to copy & paste in your browser): http://www.mastersbiblechurch.com/cmh

I fully understand and agree to abide by all the policies and procedures explained throughout the handbook while serving in this ministry. *

I acknowledge that I received and read a copy of the Master’s Bible Church Children’s Ministry Sunday School Handbook. I acknowledge that a failure on my part to follow the guidelines set forth in the handbook could result in my removal from Children’s Ministry.

QUESTIONS

Do you have any questions? If so, please list them here.