..:: Learning Stream ::..

All questions marked by an asterisk are required

Event Name:

KiDSCOR Volunteer Application

Welcome to KiDSCOR, the Children's Ministry at Church of the Resurrection. Thank you for taking time to complete this application. We feel strongly about caring for children and partnering with families so that all may grow in their relationship with God and with one another.

Please complete this volunteer application in its entirety to let us know a bit about you and to provide a background check. Because the safety of children and youth is a top priority, all applicants are required to complete this disclosure form.

The information obtained on this form is for internal use by The Church of the Resurrection only. Please answer each question below. Your social security number is required if you are 16 or older. If you are younger than 16, a parent/legal guardian must review and electronically sign the form as well. Responses will be treated confidentially.

*First Name:

*Middle Name/Initial:

*Last Name:

*Primary Phone Number:

{xxx-xxx-xxxx}

*Email Address:

*Retype Email Address:

*Address:

*City:

*State:

*Zip/Postal Code:

*Where do you plan to volunteer?

*Do you have a KiDSCOR name tag?

Yes
No

*How would you like your name to appear on your name tag?

*T-shirt Size:

*Volunteer Status:

16 or older: first-time volunteer
16 or older: renewing, one-time event or VBC volunteer
Student younger than 16

*Please explain:

Are there any facts or circumstances involving you or your background that would call into question you being entrusted with the supervision, guidance and care of children or young people?

Yes
No
[Click here to clear selection for question above]

*Please explain:

*Are you willing to participate in KiDSCOR orientation and training and to be supervised by staff?

Yes
No

*How long have you been attending The Church of the Resurrection:

*Please list any gifts, callings, training, education or other factors that have prepared you for working with KiDSCOR:

*Please list any organizations through which you have volunteered with minors in the past 5 years:

*Please list any ministries in which you are currently involved:

Disclosure to Volunteer Regarding Procurement of a Criminal Report

In connection with your application to volunteer, we will procure a criminal record report on you as a part of the process of considering your candidacy as a volunteer. In the event that information from the report is utilized in whole or in part in making an adverse decision with regard to your potential volunteer activities, before making the adverse decision, we will provide you with a copy of the criminal record report and a description in writing of your rights under the law.

By including your electronic signature below, you hereby authorize us to obtain a consumer report and/or an investigative report about you in order to consider you for a volunteer position.

*Name (first, middle initial, last):

*Social Security Number:

*Date of Birth (mm/dd/yyyy):

*Today's Date:

*Applicant's Signature (Type your full name):

Applicant's Statement

I affirm that the information I have given on this form is true, correct and complete. The information may be verified by contacting any person or organization that may have any information concerning me. I hereby release and agree to hold harmless from liability any person or organization that provides information. I also agree to hold harmless The Church of the Resurrection and its paid staff members and volunteers. I waive any rights to inspect any information provided about me by any person, organization or investigative agency. In signing this application, I agree to be guided by the policies and regulations of The Church of the Resurrection.

*Today's Date:

*Applicant's Signature (Type your full name):

Parent/Guardian Statement

As parent/guardian of the above named applicant, I give permission for The Church of the Resurrection to obtain a consumer report and/or investigative report about my child.

Parent/Guardian Statement

As parent/guardian of the above named applicant, I give permission for my child to serve in KiDSCOR at The Church of the Resurrection. I agree to accept responsibility for my child's actions and behavior while he or she is serving in KiDSCOR.

*Parent/Guardian Signature (Type your full name):

Save Information:

{Checking this option will save your information for future registrations}