Serving Kids & Youth: Application

Name *

First Name

Last Name

Are you currently a member of Iron Works Church? *

Yes, I am a member.

I am not a member, but I plan to join soon.

No, I am not a member.

Cell number *

(###)

###

####

Where would you like to serve? *

Check all that apply.

Nursery

Preschool Children's Church

Elementary Children's Church

Younger Kids' Sunday School (pre-school - 5th grade)

Older Kids' Sunday School (6th - 12th grade)

Middle School Youth Group

High School Youth Group

Kids' Table

I need help deciding

Reference #1: *

First Name

Last Name

Phone *

(###)

###

####

Reference #2 *

First Name

Last Name

Phone *

(###)

###

####

Reference #3 *

First Name

Last Name

Phone *

(###)

###

####

Acknowledgement

The information contained in this application is correct to the best of my knowledge. I authorize any references to give any information, including opinions, which they may have regarding my character and fitness for working with minors. I waive any right to inspect any information provided about me by a person or organization identified by me or by my references in this application. *

I agree.

Theological Alignment

I understand that if I occupy a teaching role in family ministry, with any age group and in any context, the content and application of the teaching must be in alignment with the theological tenets of our church. *

I understand and agree.

Have you ever participated in, been accused of, arrested or convicted of, or pleaded guilty or no contest to any abuse, sexual misconduct, or sexual molestation of a minor or adult? *

Yes

No

Have you ever been convicted of a crime (other than minor traffic violations) or are there charges pending against you at this time? *

Yes

No

All information I have provided is true, accurate and complete to the best of my knowledge. *

Agree

Please type your first and last name in the box below to sign this form. *

First Name

Last Name