KWCOC Family Ministry Volunteer Form

Certain laws guarantee the church and the applicant the right to ask and refuse to answer questions related to the application and screening process. These applications for service are strictly confidential. Persons applying who refuse to answer the questions will be interviewed regarding the refusal. Thank you for your cooperation in this process. Our goal is to promote safety for children and youth. This is not an application or contract for employment.

* First Name

* Middle Name

* Last Name

* Birthday (MM/DD/YYYY)

* Email Address

* How long have you been a KWCOC member?

* In which areas would you like to serve?

* Please share the age group(s) you are most interested in working with and why.

* List other skills, talents or experiences that may be useful in Children or Youth ministry.

Please list the last church attended, dates of attendance and area of service.

* Church

* City

* State

* Time of Attendance (MM/YYYY - MM/YYYY)

* Area of Service

Please list 3 people that will provide you with a personal reference.

* Reference 1 Name

* Email

* Relationship

* Reference 2 Name

* Email

* Relationship

* Reference 3 Name

* Email

* Relationship

* Indicates Response Required