Date MM DD YYYY Name * First Name Last Name Date of Birth * MM DD YYYY Gender Male Female Marital Status Married Single Email * Phone (###) ### #### Phone Service Provider Address Address 1 Address 2 City State/Province Zip/Postal Code Country Team Interest T-shirt Size Have you committed your life to Jesus? Yes No Do you attend our church regularly? Yes No I believe Jesus is God and was born of a virgin. Yes No I believe Jesus is God's Son and the only sacrifice for sin. Yes No I believe Jesus rose bodily from the dead. Yes No I believe the Holy Bible is accurate without fault. Yes No I believe the only way to have eternal life with God the Father is through a relationship with Jesus Christ. Yes No Has anyone ever brought or threatened to bring a civil or criminal claim against you alleging physical or sexual abuse or sexual harassment? Yes No Have you ever terminated your employment or had your employment terminated for reasons relating to allegations of physical or sexual abuse or harassment? Yes No Have you ever been charged, arrested, or convicted of a felony or misdemeanor? Yes No If yes, list the year of occurrence. Have you ever been reprimanded as a student or employee for harassment of another individual or other inappropriate behavior with another individual? Yes No If yes, list the year of occurrence. I agree to report any suspected abuse to the staff person who oversees the area in which I serve. * Yes No I serve on a team with children & youth, and give my permission for a background check. * Yes No By selecting "yes" below, I am stating that the information contained in this application is complete, accurate, and not misleading in any way. Should my application be accepted I agree to comply with the policies and procedures of our Church. Yes No Thank you! A Team Leader will review your application and reach out to you with more information. Serve Team ApplicationPlease complete one per person.
