Baxter Road Bible Church Children's Ministry Application

Confidential

APPLICATION FOR ALL CHILDREN'S MINISTRY WORKERS

This application is to be completed by all applicants for any position (volunteer or compensated) involving the supervision, teaching, or custody of minors, or the disabled. It is being used to help Baxter Road Bible Church provide a safe, positive, and secure environment for those who participate in our programs and use our facilities.

This application and references will be held in a confidential file.

Our purpose is to protect all our ministry workers and those to whom they minister, as well as to protect the integrity of Baxter Road Bible Church.

Please complete the form below

Name

Date of Birth

Current Address

This address will receive a confirmation email

Home or Cell number

Work number

Describe your spiritual Journey, including how and when you became a Christian. Describe your current walk with God.

List the names of churches you attended regularly during the past five years, and the length of time you attended each.

Do you have any physical handicaps or medical conditions that might prevent you from performing certain types of activities related to children and youth?

Yes No

If yes, please explain.

Sexual abuse and child abuse are significant problems in our society. Many people who have been abused as children deal with it appropriately and go on to be healthy adults. Some people who have been victims of child abuse become abusers themselves. Therefore, because of a 1991 Alaska Supreme Court opinion, as well as for your own protection, we need to ask you the following questions:

Have you ever been a victim of sexual abuse, or childhood abuse?

Yes No

If yes, please describe your healing. If no, please type N/A in this field. If you feel uncomfortable answering this question, please speak to a Baxter Road Bible Church Pastor.

Have you ever been charged or convicted of a crime involving child abuse, domestic violence, child pornography, or attempted sexual molestation of a minor?

Yes No

If yes, please explain. If no, please type N/A in this field.

Have you ever been convicted of a felony?

Yes No

If yes, please explain. If no, please type N/A in this field.

References

Please list two people who are not family members who can speak about your ministry experience and spiritual journey. Provide their full name, address, and phone number.

Reference 1

Name

Phone number

Address

Reference 2

Name

Phone number

Address

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to provide to Baxter Road Bible Church or it's authorized agent any information they may have regarding my character and fitness for work with children, youth, or the disabled. I release all such references from liability for any damage that may result from furnishing such information or evaluations. I understand this information will be kept confidential unless disclosure is required by law.

Should my application be accepted, I agree to affirm and teach within the Baxter Road Bible Church doctrinal statement and to follow church policies and procedures. I agree to live a life that glorifies God, edifies the body of Christ and refrains from unscriptural conduct.

I authorize Baxter Road Bible Church to conduct a background screening to verify my information.

Yes

Clicking "Submit" below will complete this application and provide you a link to the background check information page. By proceeding, you agree you have read, understand and consent to the above statements.
Please note: This application is not completed until the background check on the following page has been submitted.

Description

Please fill out this form and click submit.

Baxter Road Bible Church Children's Ministry Application

Description

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