Fellowship West Volunteer App KIDS/ Student Ministry

Address

Gender

Birthdate

Phone number

Address

To which ministry are you applying? *

If applying to KIDS, choose up to 2 areas. Other areas, choose 1.

Nursery (babies thru 2.5 year olds)

PreK (ages 2.5 to 5)

Elementary (K-3)

Preteen (4th and 5th)

Welcome/ Check-in

Middle School (6th-8th)

High School (9th-12th)

Safety Team

Do you currently serve in another area of our church? *

If no, choose "none."

Connections/ Greeting Team

Life Group Leader

Worship and Tech Team

Coffee Prep Team

Counting Team

None

May we send you alerts (weather or pertinent information)? *

Yes

No

May we send you the E-News once a month? *

Yes

No

I understand Email is the primary form of communication, but text or phone may be used when necessary. *

Yes

Marital Status *

If married, what is your spouse's name?

Emergency Contact Name & Phone Number *

Employer & Occupation *

Job Frequency *

Full-Time

Part- Time

Student

Unemployed or stay at home

Retired

T-Shirt Size? *

Small

Medium

Large

X-Large

2X

3X

If you have a college degree, what is it?

Are you CPR and/or First Aid Certified *

CPR

First Aid

Both

Neither

Do you have an additional medical training? *

Please explain. Type "N/A" if no additional training

Do you have previous experience working with children/students? *

Please explain. Type "N/A" if no additional training

Have you made a profession of faith the Jesus is your Lord and Savior? *

Yes

No

I would like to talk to someone about this

If yes, briefly share your journey to understanding Jesus as your Lord and savior and how this impacts your life today.

Are you currently using illegal drugs? *

Yes

No

Have you used illegal drugs in the past? *

Yes

No

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

Yes

No

If yes, please explain: *

If no, type "n/a".

Have you ever participated in, been accused of, arrested for, convicted of, or pleaded guilty or no contest to a criminal offense of any kind? *

Yes

No

If yes, please explain and list dates. *

if no, type "n/a"

Have you ever participated in, been accused of, arrested for, convicted of, or pleaded guilty or no contest to any form of abuse or any sexual misconduct? *

Yes

No

If yes, please explain and list dates. *

If no, type "n/a."

References Name *

As a part of our process, we contact a reference who has knowledge of your experience with children and/or your character. Please list one reference. (Ex: ministry leader, employer, ministry partner...) Please do not list any family members as a reference.

Reference Phone Number: *

Reference Email Address: *

Relationship to applicant: *

Applicatant's Statement/ Signature of Understanding *

The information contained in this application is correct to the best of my knowledge. I authorize any references, churches or other organizations listed in this application to give you any information they may have regarding my characted and fitness for working with children and/or students. I release all such references from liability for any damage that may result from furnishing such evaluations to you, and I understand that any omission of material fact on this application may be grounds for rejection of this application.
Placing your name below has the same bearing as an authentic signature.

Authorization and request for criminal records background check (Ages 18 and over)/ Signature *

Fellowship West Church will request for the Knoxville/ Knox County police/sheriff's department to release information regarding any record of charges or convictions contained in its files, or in any criminal file maintained on all applicants, whether said file is a local, state, or national file, and including but not limited to accusations and convictions for crimes committed agains minors, to the fullest extent permitted by state and federal law. I do release said police/sheriff's department from all liability that may result from any such disclosure made in response to this request. Placing your name below has the same bearing as an authentic signature.