Kids' Team Member Application

Your name *

Email address *

Address

Phone number

What is your primary campus? *

Please pick one.

Byron Center

Hudsonville

Holt

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

Yes

If the answer to the above question is yes, please explain in detail:

Do you have any traits or tendencies that could pose any threat to children, youth, or others? *

Yes

If the answer to the about question is yes, please explain in detail:

Is there any reason why you should not work with children, youth, or others? *

Yes

If the answer to the about question is yes, please explain in detail:

References

Please provide 2 character references that meet all of the following criteria: 1. Have personally known the applicant a minimum of 2 years, 2. are 18 years of age or older, and 3. do not reside at the same address as the other reference.

Please include the following: Name, Years known, Contact Phone, Email Address, and Relationship to applicant. *

Please share what God is teaching you right now or has taught you recently: *

Is there anything else that you would like us to know?

Children's/Youth Work and Verification and Release *

I recognize that Chapel Pointe is relying on the accuracy of the information I provide on the Family Ministry Volunteer Application form. Accordingly, I attest and affirm that the information I have provided is absolutely true and correct. I authorize the organization to contact any person or entity listed on the Chapel Pointe Family Ministry Volunteer Application form, and I further authorize any such person or entity to provide the organization with information, opinions, and impressions relating to my background or qualifications. I voluntarily release Chapel Pointe and any such person or entity listed on the Family Ministry Volunteer Application form from liability involving the communication of information relating to my background or qualifications. I have carefully read the policy and procedures of the organization, and I agree to abide by them and protect the health and safety of the children or youth assigned to my care or supervision at all times.

By checking this box, I agree to all of the above.

Kids' Team Member Application

References

Personal Testimony

General Information