Have you used any other name? *
Select… Yes No
Phone number *
Phone type Mobile Home Work Other
What age of children or youth do you prefer to serve with? *
What Date are you available to serve?
Have you ever been convicted of a criminal offense (felony or misdemeanor except for minor traffic violations)? *
Have you ever been charged with a sexual offense, offense relating to children, or crime of violence? *
Have you ever been reported to a social services agence, law enforcement authority, child abuse registry, or similar organization regarding abuse or misconduct involving children? *
Have you ever been subjected to expulsion, reprimand, or other discipline by a church, denomination or other religious organization? *
Were you abused as a child?
If you prefer, you may wish to refuse to answer this question, or you may discuss your answer in confidence with the appropriate staff pastor rather than answering it on this form. Answering "yes" or failing to answer will not automatically disqualify an applicant for children/youth ministry.
Please explain the circumstances involved if YES was marked for any/all questions above
As a church child/youth worker, do you agree to observe all guidelines and policies regarding working with children and/or youth? *
Are you a member of Trinity Church? *
List other churches you have attended over the past Five years *
Include Church name, Phone number, contact person and number of years involved
List previous work (church & non-church) involving children or youth. *
Include organization name, Type of work, Contact person/Supervisor and contact phone #
List gifts, callings, training, education or other factors that may have prepared you for work with children/youth. *
Describe your relationship with Jesus Christ *
Submit
