Childrens Ministry Application Updated 2016


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Calvary Chapel Pearl Harbor Children’s Ministry Application PERSONAL INFORMATION

Name: ____________________________________________________________________________________________ First

Middle

Last

Address: __________________________________________________________________________________________ Street

City

State

ZIP

How long at current address? ____________ Date of Birth: __________________________________________________ Home Phone: _______________ Cell Phone: _________________ Business Phone: ______________________________ E-Mail:______________________________ DL#: ________________________________________________________ Marital Status: ______________ Spouse’s Name (if married): ________________________________________________ Occupation:__________________________ May we call work? ______________________________________________ Previous Address: ___________________________________________________________________________________ Street

City

State

ZIP

List all other cities and states where you have lived as an adult: _______________________________________________ __________________________________________________________________________________________________ Please note: SS# is required to process your background check. You will be contacted for this information upon final review of your application by our Children’s Ministry Director.

AREA(S)/AGE(S) OF INTEREST (Please circle all that may apply) Children’s Church AWANA Miscellaneous Service Coordinator Nursery Floater Substitute Toddlers Preschool/Kindergarten 1st-2nd Grade 3rd-5th Grade

Club Directors Club Secretary Puggles (2 yrs) Cubbies (3-4 yrs) Sparks (K-2nd) TnT (3rd-6th) Trek (7th-8th)

Worship Kid Check-In Children’s Plays/Musicals Administration Special Events Other: ______________________

Service you prefer to serve: Sunday: ( ) 8:30 a.m. ( ) 10:30 a.m. ( ) 6:00 p.m. Wednesday: ( ) 6:30 p.m. May we call you to substitute in other areas of ministry? ( ) Yes ( ) No

For Office use ONLY Background Check (date): ______________ Reviewed by: ____________________________________________________________ Reference Contacted (who/date): _________________________________________________________________________________ Comments of Reference:________________________________________________________________________________________ Reference Contacted (who/date): _________________________________________________________________________________ Comments of Reference:________________________________________________________________________________________ Interviewed By (if needed): _____________________________________________________________________________________ Interviewers Comments: ________________________________________________________________________________________ ____________________________________________________________________________________________________________ Identification Obtained: ( ) Yes Received Children’s Ministry Handbook: ( ) Yes Return Acknowledgement: ( ) Yes Attended Orientation ( ) Yes Dates attended:_______________________________________________________________________ Ministry Safe Completed: ( ) Yes Test date taken and Passed: ____________ Score: _______________________________________ Other areas of Ministry at CCPH served: ___________________________________________________________________________ Children’s Ministry Director approval: ____________________ Date: ___________________________________________________

PERSONAL TESTIMONY How long have you been born again? ____________________________________________________________________ Describe the situation that led you to accept Christ as your personal Lord and Savior: ______________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Describe your relationship with Christ: __________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ How long have your been attending Calvary Chapel Pearl Harbor? ____________________________________________ Where did you fellowship previously and how long (dates)? __________________________________________________ After reading the attached doctrinal statement, do you disagree with any doctrines taught by Calvary Chapel? __________ If so, what and why? _________________________________________________________________________________ __________________________________________________________________________________________________ Describe your understanding of God’s view of children: (Give Scripture) _______________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Do you believe the Bible to be the pure inspired Word of God? (Give Scripture) __________________________________ __________________________________________________________________________________________________ Do you believe Jesus is God? Why is this important? (Give Scripture) __________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Do you believe that a personal relationship with Jesus Christ is the only way one can be saved? (Give Scripture) __________________________________________________________________________________________________ __________________________________________________________________________________________________ What is it about working with children that interests you? ____________________________________________________ __________________________________________________________________________________________________ Describe your philosophy for how best to minister to children. ________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Describe a time that you have had to deal with a child having behavior problems. How did you handle the situation? _____ __________________________________________________________________________________________________ __________________________________________________________________________________________________ How would you lead a child to Christ? ___________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ List any talents, vocations, preparation, training, or other experiences which have equipped you to work with children, students, or vulnerable adults: __________________________________________________________________________ __________________________________________________________________________________________________ All children’s ministry volunteers are required to sit-in ONE WEEKLY SERVICE at Calvary Chapel Pearl Harbor. Which service will you attend? _______________________________________________________________________

REFERENCES GIVE THREE REFERENCES (ONE PROFESSIONAL REFERENCE, ONE PERSONAL REFERENCE, AND ONE FAMILY MEMBER (other than your spouse). PLEASE DO NOT USE PASTORAL STAFF OR IMMEDIATE LEADERSHIP AS REFERENCES. Professional Name

Phone

Email

Years Known

__________________________________________________________________________________________________ Street Address

City

State

ZIP

Personal Name

Phone

Email

Years Known

__________________________________________________________________________________________________ Street Address

City

State

ZIP

Family Member Name

Phone

Email

Years Known

__________________________________________________________________________________________________ Street Address

City

State

ZIP

Please list the name, address, city and state of other churches you have attended regularly during the past 10 years. __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Please list all previous church work involving children, students, or vulnerable populations (impaired, adults, special needs individuals, etc.) List each church’s name and address, type of work carried out, dates, and a contact person familiar with your work there. Use the back of this page for more space if necessary. __________________________________________________________________________________________________ __________________________________________________________________________________________________ Please list all previous non-church work involving children, students, or vulnerable populations. (List each organization’s name and address, type of work carried out, dates, and a contact person familiar with your work there.) __________________________________________________________________________________________________ __________________________________________________________________________________________________ Please list other Ministries you have served in or are currently serving in at CCPH: __________________________________________________________________________________________________ __________________________________________________________________________________________________

PERSONAL STATEMENTS DUE TO THE NATURE OF THIS MINISTRY, WE FIND THE FOLLOWING QUESTIONS ARE NECESSARY IN DETERMINING YOUR INVOLVEMENT WITH THE CHILDREN. YES NO

Do you have health problems that may put children under your care at risk? Have you ever been a perpetrator in a case of child abuse/neglect (physical or sexual)? Has someone ever accused you of abusing a child? Have you experienced any significant physical or emotional stresses within the past year, such as the loss of a parent, spouse, or child, extreme ill health, or any emotional or physical crisis? Do you consider yourself to have been physically or sexually abused as a child? (This information is kept entirely confidential.) If you were physically or sexually abused as a child, would you consider utilizing church resources to seek healing in this area of your life? Have you ever been convicted of a felony?

Release Statement I authorize Calvary Chapel Pearl Harbor to contact all individuals, organizations, and references listed on this Ministry Application in order to verify the information I have provided to the church. I agree to release from liability any person or organization that provides information concerning me, including those persons I have listed as references, as well as contact persons from my previous church and non-church work, listed on this application. I specifically authorize the church to undertake a criminal background check concerning my past. I understand and agree that any information received from the background check and application verification will not be disclosed to me, and I hereby waive any right I may have to inspect any information provided about me by any person or organization identified by me on this form. By signing this form, I certify and affirm that the information I have given on this form is true, complete, and correct in all respects. __________________________________________________ Signature

____________________________________________ Date

Comments: ________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ Revised August 2016

Volunteer Statements and Agreed Code of Conduct Please initial each of the following statements: ____

I declare that all statements contained in my Children’s Ministry Application are true. I understand that any misrepresentation or omission is cause for dismissal from any ministry involvement.

____

I understand that my references and contacts from prior church or non-church work with children, student, or disabled adults will be contacted and that an appropriate criminal background check will be conducted. I authorize investigations of all statements contained in this application. I specifically authorize Calvary Chapel Pearl Harbor (CCPH) to undertake a criminal background check of my past.

____

I understand that I must be interviewed and recommended by a ministry leader or pastor before I begin service as a volunteer in CCPH Children’s Ministry.

____

I understand that I can withdraw my application process at any time.

____

I understand that CCPH has a policy of ZERO TOLERANCE FOR ABUSE and takes all allegations of abuse seriously. I further understand that CCPH cooperates fully with the authorities to investigate all cases of alleged abuse. Abuse of any kind is grounds for immediate dismissal from my volunteer position and possible criminal charges.

____

I declare that I am not a pedophile or child molester. I have not perpetrated physical abuse, sexual abuse, emotional abuse or neglect against a child, student, or disable adult, and I have never been accused of these acts.

____

I understand and agree that false statements regarding past conduct and/or present situations may be grounds for denial of this application to provide volunteer services, and that refusal to inform CCPH of the contents of a sealed criminal record will result in the automatic denial of the application.

____

If accepted as a volunteer, I agree to read and abide by all Policies and Procedures provided to me by CCPH. ________________________________________________ Signature of Applicant

______________________________________ Date

Calvary Chapel Pearl Harbor Statement Of Faith WE BELIEVE the Bible to be the inspired, only infallible, authoritative, inerrant, all sufficient Word of God (2 Timothy 3:15-17, 2 Peter 1:21). WE BELIEVE there is one God, eternally existent in three persons: Father, Son and Holy Spirit (Genesis 1:1, Deuteronomy 6:4, Matthew 28:19, John 10:30). WE BELIEVE in the deity of Christ (John 10:33); His virgin birth (Isaiah 7:14, Matthew 1:23, Luke 1:34-35); His sinless life (Hebrews 4:15, 7:26); His miracles (John 2:11); His vicarious and atoning death (1 Corinthians 15:3, Ephesians 1:7, Hebrews 2:9); His resurrection (John 11:25; 1 Corinthians 15:4); His ascension to the right hand of the Father (Mark 16:19); His personal return to earth in power and glory (Acts 1:11, Revelation 19:11- 16). WE BELIEVE in the absolute necessity of regeneration by the Holy Spirit for salvation because of the exceeding sinfulness of human nature, and that all are justified on the single ground of faith in the shed blood of Christ, and that only by God's grace, through faith alone, are we saved (John 3:!6-19, 5:24, Romans 3:23, 5:8-9, Ephesians 2:8-10, Titus 3:5). WE BELIEVE in the resurrection of both the saved and the lost, they that are saved unto the resurrection of the life, and they that are lost unto the resurrection of damnation (John 5:28-29). WE BELIEVE in the spiritual unity of believers in our Lord Jesus Christ (Romans 8:9, 1 Corinthians 12:12-13, Galatians 3:26-28). WE BELIEVE in the present ministry of the Holy Spirit by Whose indwelling the Christian is enabled to live a Godly life (Romans 8:13-14, 1 Corinthians 3:16, 6:19-20, Ephesians 4:30, 5:18). WE BELIEVE marriage has been ordained by God. This church defines “marriage” as the exclusive covenantal union of one man and one woman in which such union is a lifetime commitment. A civil government’s sanction of a union will be recognized as a legitimate marriage by the church only to the extent that it is consistent with the definition of “marriage” found in these Articles. WE BELIEVE that marriage is exclusively the legal union of one genetic male and one genetic female and that this union is evidenced by a marriage ceremony. We also believe that legitimate biblical sexual relations are exercised solely within marriage. Hence, sexual activities such as, but not limited to, adultery, fornication, pre-marital sex, incest, polygamy, homosexuality, transgenderism, bisexuality, cross dressing, pedophilia and bestiality are inconsistent with the teachings of the Bible and the Church. Further, lascivious behavior, the creation, viewing and/or distribution of pornography and efforts to alter one’s physical gender or gender related appearance are incompatible with a true biblical witness.(Genesis 2:24; I Corinthians 5:11; 6:9; 6:18-20; 7:1-3; 7:8-9; Romans 1:18-32). By signing, I affirm that I am in full agreement with Calvary Chapel Pearl Harbor’s Statement of Faith. ________________________________________________ Signature

______________________________________ Date