Student Phone Number *
Please type "NA" if student does not have a personal phone number
Student Email *
Please type "NA" if student does not have a personal email
Student Address *
Street Address | City | State | Zip Code
Student Gender *
Select… Male Female
Only one agreement is required per year for anyone serving. If you fill out an application for one area of ministry, this will cover you for serving in another area. In which area(s) do you plan to serve? Check all that apply. *
By God's strength, I commit to live by spiritual principles that please God and to make choices that set a positive example, especially in the areas of drugs, alcohol, choice of entertainment and sexual purity (including abstinence until marriage). *
See Ephesians 4:17-5:21 & I Corinthians 10:23-11:1
Have you read and are you willing to teach according to Grace Community Church's Statement of Faith? *
A copy of our Statement of Faith from our church by-laws is available here: https://gccnewton.com/faith-statement-1
If you have made a decision for Christ, please briefly describe when and how you became a Christian.
What are you currently doing to grow in Christ? *
Have you ever been convicted of, or treated for, any form of substance abuse? *
Have you ever been charged, accused or convicted of any form of child abuse, pornography, child molestation, domestic violence, or any other crime or sexually-related crime? *
Have you ever viewed pornography of any kind?? *
If you answered YES to any of the above group of questions, please explain in the space provided.
Please list 1-2 references (not family members) whom we may contact concerning your character and abilities in working with children and youth. *
Please include the person's name, phone number and email address.
If it is momentarily necessary that only one volunteer be in a room with children, the door of that room shall remain at least slightly open or have a window that will allow others to look in.
Phones may be kept on the counter in the room. If use becomes a problem, the designated coordinator may require the phone be left in another location (i.e. check-in desk, vehicle, purse, etc.).
Where required, parents must present their printed security tag to check-in staff. If another person is to pick up the child in the parents' place, the parent/guardian must give their printed security tag to that person. Check-in staff will take children to and from their class and the check-in station.
It is recommended that teachers/leaders conduct practice drills with their students. Contact a parent when an injury occurs, report it to the ministry director in charge, and complete an incident report form for any accident.
Touching and hugging should be done in the presence of another volunteer and in an open classroom or area. Kissing, extended hugging and tickling, or carrying or sitting an older child on your lap is prohibited.
Parental consent forms are required for each child participating in church-sponsored activities or trips. *
You should report any suspected/known child abuse to the Children's Ministry Director or a pastor of Grace Community Church. *
In those cases, report to and seek counsel from the director of children’s or youth ministry or a pastor of Grace Community Church.
The answers I have given are truthful to the best of my knowledge.
Youth's Signature *
Please type your full name here as your electronic signature to authorize the above statements.
Parent's Signature *
Parent, type your name here as an electronic signature indicating you have reviewed the information entered here and understand the terms of this agreement.
Accuracy and Consent *
If we learn that any of your answers do not accurately represent your situation or that you were not completely truthful about your answers we reserve the right to ask you to step down from serving until we fully understand your situation. Do you understand and consent to this policy?
Submit
