Application for ministering to children at Redeeming Grace Church

Thank you for your interest in serving the children and families of RGC!

If you haven't yet read through the Child Protection Policy Summary, please do that first.

Name

Date

Address

Phone

This address will receive a confirmation email

Family Information

I am

Single Married Divorced Widowed

Do you have any children? How many?

Membership Information

How long have you been a member of RGC?

If not a member, how long have you been attending RGC?

Prior experience?

What church or churches have you attended in the past five years? For each church, list the church's name, the pastor's name, and what years you attended.

Have you taught or cared for children in any church or parachurch ministry? If yes, please describe.

Training

Have you attended RGC's child ministry training time?

Yes No

Personal References

Note: the applicant grants consent for references to share information about the applicant, and waives the right to view reference statements

If you are not a member of RGC, please list:

1. A pastor or church leader from the church you most recently attended

2. A person with whom you have worked or served in the past who knows you well

If you are a member of RGC, you can skip the references section.

Reference 1 Name

Address

Phone

Relationship

Reference 2 Name

Address

Phone

Relationship

Confidential Information

This information is to help us promote a safe and secure environment for children participating in our programs. This information will be kept confidential and viewed only by the elders. If you would like to discuss any of these matters further, please indicate that on the form and the elders will be glad to speak with you.

Answering “yes” to any of these questions will not necessarily disqualify you from participating in children’s ministry at RGC.

Have you ever been accused of, participated in, pled guilty to, or been convicted of child abuse, child neglect, or any other crime against a minor?

Yes No I would like to discuss this

Comments

Have you ever had sexual interaction or sexual contact with a child?

Yes No I want to discuss this

Comments

Have you ever been accused of, participated in, pled guilty to, or been convicted of any kind of sexual misconduct of an illegal nature?

Yes No I would like to discuss this

Comments

Have you deliberately and repeatedly viewed pornography recently?

Yes No I would like to discuss this

Comments

Agreements

By writing my initials, I agree to uphold these requirements of the Child Protection Policy Summary. I understand that any failure to agree to these will require me to not serve with children at RGC.

I have read through the Child Protection Policy Summary

I agree to uphold the requirements laid out in the RGC Child Protection Policy Summary.

I agree to work to care for and protect the children of RGC, body, soul and mind.

I agree to report any reasonable suspicion of child abuse or neglect to the civil authorities and to the elders of RGC.

I understand that I will be required to have a criminal background check before I will be allowed to minister to the children of RGC.

Application for ministering to children at Redeeming Grace Church

Description

Please Fix the Following