GATEWAY KIDS MINISTRY Gateway Church GATEWAY KIDS VOLUNTEER APPLICATION

GATEWAY KIDS MINISTRY Gateway Church GATEWAY KIDS VOLUNTEER APPLICATION

Thank you for your interest in serving with Gateway Kids! Please completely fill out this application using a black or blue ink pen. We can only process applications with an official, handwritten signature. We ask that you do not give your application to any of our workers during the weekend services. We also ask that you do not fax your completed application but rather scan (email) it to Anne Hardin at anne.hardin@gatewaystaff.com or, mail it to the following: Gateway Church, Attn: Gateway Kids, 500 S. Nolen, Ste. 300 Southlake, TX 76092 Name Phone: Cell: Email: Select where to serve (circle one): SLK GRP NRH FRS NFW DAL Please indicate with and X when and where you are interested in working. Saturday Services Sunday Services Weekdays Weeknights Nursery 2 yr olds 3 yr olds 4 & 5 yr olds 6 yrs 2 nd Grade Grades 3 & 4 Grades 5 & 6 Special Needs Have you completed Catch the Vision, Gateway Church s membership class? (Note: Membership and a minimum of four months of consistent attendance is required) How long have you attended Gateway Church? Yes No List the name(s) and addresses of other churches you have attended regularly during the past five years: List any talent(s), training and/or education that have prepared you for Christian service: 2

CONFIDENTIAL This application is to be completed by all applicants for any position involving the supervision or custody of minors within Gateway Church. This document is used to help Gateway Church provide a safe environment for the children who participate in our programs and use our facilities. Personal Information Date: Name: Address: ( First) (Middle) (Last) (Street) (City) (State) (Zip) Phone: Cell Phone: Email address: Present Employer: Job Description: Confidential Background Information Have you ever been convicted of a felony? Yes No If Yes, please explain: Have you ever been accused of and/or convicted of child abuse? Yes No If Yes please explain: Have you ever been accused of or convicted of a crime involving actual or attempted sexual molestation of a minor? Yes No If Yes please explain: 3

CHURCH BACKGROUND AND EXPERIENCE DO YOU BELIEVE: YES NO In the virgin birth of Jesus Christ? That Jesus is God s Son and the only sacrifice for sin? That you must be born again to receive eternal life? In eternal reward for the believer? (Heaven) In eternal damnation for the lost? (Hell) In the infallibility of the scriptures? That divine healing is part of God s will for all who believe? That Jesus physical body was raised from the dead? In the infilling of the Holy Spirit? Have you ever led a child to Christ? Have you ever helped a child receive the Holy Spirit? Are you a member of Gateway Church? Have you been born again? Have you been filled with the Holy Spirit? Have you been baptized in water? Have you ever been involved in children s ministry before?. Yes No If Yes, please list the church(es), organization(s) and areas of ministry below: Do you have any physical conditions preventing you from certain types of activities relating to children s ministry? If Yes, please explain: 4

BACKGROUND INVESTIGATION CONSENT I,, hereby authorize Gateway Church, and/or its agents to make an independent investigation of my background, references, criminal or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information which may be material to my qualifications for employment now and, if applicable, during the tenure of my employment with Gateway Church I understand that if any issues arise from this investigation, Gateway Church will discuss these matters with me. I release Gateway Church and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims or law suits in regards to the information obtained from any and all of the above referenced sources used. The following is my true and complete legal name and all information contained herein is true and correct to the best of my knowledge: Full Name (First, Middle, Last): Maiden or Other Names: Social Security Number: Birth Date: Driver s License: State Issued: List your residential addresses for the past seven years starting with most recent (including current) (Street Address) (State, City, Zip, County) (Dates resided at location - Mo/Yr) Have you been convicted of a crime (other than minor traffic offenses)? Yes No If Yes, please explain the charges below (use the additional sheet of paper if necessary): Applicant Signature (Date) Parent/Legal Guardian Signature (if applicant is under 18 yrs) (Date) *NOTE: The above information is required for identification purposes only, and is in no manner used as qualifications for employment. Gateway Church is an Equal Opportunity Employer and does not discriminate on the basis of Sex, Race, Age (40 and over), Handicap or National Origin. 5

PERSONAL REFERENCES (NOT EMPLOYEES OR RELATIVES) Name: Address: Phone: Name: Address: Phone: EMPLOYMENT REFERNCES (TWO MOST RECENT EMPLOYERS) Employer: Employer: Name of Supervisor: Name of Supervisor: Phone: Phone: APPLICANT S STATEMENT The information contained in this application is correct to the best of my knowledge. I authorize any references or past employers listed in this application to provide any information they may have regarding my character and fitness for children s ministry. I release all such references from liability for any damage that may result from furnishing such evaluations and I waive any right that I have to inspect the references provide on my behalf. Should my application be accepted, I agree to be bound by the constitution, by-laws and policies of Gateway Church, and to refrain from unscriptural conduct in the performance of my services on behalf of the church. I also understand that by signing this document, I am committing to serve no less than three months as a Gateway Church volunteer within the Gateway Kids department. Applicant Signature (Date) 6

Please ensure that you have filled out this form to the best of your knowledge and that you answered and signed all of the questions and signature lines of this document. Please use space below for additional comments. Why do you want to be involved in Gateway Kids Ministry? Additional comments here: 7

THANK YOU! 8