Date
MM
DD
YYYY
Name
Please include your middle name as well:
First Name
Last Name
If you have ever used other names, please complete name(s) and date in use:
Social Security Number:
Home Phone:
(###)
###
####
Cell Phone:
(###)
###
####
Present Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Previous Address:
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth (if you are under 18 years of age):
MM
DD
YYYY
Marital Status:
How long have you attended Evangelical Free Church of Redwood Falls?
Are you a member of Evangelical Free Church of Redwood Falls?
If not, are you willing to attend a membership class?
Do you attend regularly (two or more services/month)?
Have you been baptized?
In a brief paragraph, please outline your spiritual journey including when you received Christ as Savior.
Have you taken any courses or received any training that would equip you for Christian ministry? If so, please list:
Please list the churches you have attended and the ministry organizations in which you have participated within the last 5 years. Please include the name of the church, the address, the phone number and the dates you attended.
Please list present and previous ministry experience: Please include the name of the ministry, the name of the Pastor and Supervisor's phone number.
Briefly share your motivation for wanting to serve in the ministries of this local church.
On what date, would you be available?
MM
DD
YYYY
Describe any condition or limitation that might restrict or prevent you from performing certain activities involved in the volunteer position for which you are being considered (i.e.: lifting, handling an emergency, driving, participating in certain sports, etc.)
Do you have a contagious or infectious disease or condition which could be transmitted to others in the volunteer work you would be performing?
If yes, please explain:
What age level do you prefer to work with? Please check all below that apply:
What ministry interest do you prefer to work in? Please check all below that apply:
What ministry program do you want to work in? Please check all that apply:
Have you ever been convicted of a criminal offense (felony or misdemeanor, except for minor traffic violations)? You will need to answer “Yes” if you have entered into a plea agreement, including a deferred sentence or deferred judgment arrangement, in connection with a criminal charge.
Have you ever been convicted of a sexual offense, offense relating to children or crime of violence (that is not covered in questions 1 above)?
If you have been convicted of such an offense, please attach a statement or explanation, including nature of offense charged, date, law enforcement agency making the charge and any other relevant information.
Have you ever been reported to a social services agency, law enforcement agency, child abuse registry or similar organization regarding abuse or misconduct involving children?
If yes, please explain below:
Have you had any painful experience (personal abuse in any form) that has better equipped you, or may hinder you from a productive ministry?
If yes, please explain below:
Have you ever been the subject of a civil lawsuit involving sexual misconduct, sexual harassment or other immoral behavior or conduct, involving adults or children?
If yes, please explain below:
Have you ever been the subject of a complaint or disciplinary proceeding against a professional license or other license held by you, including but not limited to provide child care or similar services?
If yes, please explain below:
Have you ever been the subject of any disciplinary action, transfer or dismissal, or been named as a defendant in a civil lawsuit, as a result of an accident or mishap involving children?
If yes, please explain below:
Have you ever been subject to any disciplinary action (including discharge) or investigation by a church, religious or other organization or by an employer?
If yes, please explain below:
Do you have any drug, alcohol or substance abuse problems?
If yes, please explain below:
Do you practice a sexually pure lifestyle as taught in the Scripture?
Please include three (3) personal references. Please include their name, their address, their phone number and the nature of your relationship.
Applicant's Name:
Date:
MM
DD
YYYY
Applicant's Signature:
Date:
MM
DD
YYYY
Witness' Name:
Date:
MM
DD
YYYY
Witness' Signature:
