EmailMeForm
CHILDREN'S MINISTRIES VOLUNTEER APPLICATION
Covenant Presbyterian Church
Church Offices: 32 Southgate Court, Suite 101, Harrisonburg, VA 22801
Contact: Lisa Updike, Director of Children’s Ministries
Phone: (540) 433-3051
Email: lisa@cov-pres.org
__________________________________________________________
All information on this application will be kept confidential. If you have any questions about the application, please call or email Lisa Updike.
PERSONAL INFORMATION
Please fill out all required information. Required information noted with *
Name
*
First
Last
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Primary Phone
*
###
-
###
-
####
Home Phone
###
-
###
-
####
Work Phone
###
-
###
-
####
Email
*
Occupation/Current Grade
*
Are you a member at Covenant?
*
Yes
No
I attend Covenant, but I am not yet a member.
If you are not a member at Covenant, you will need to submit a brief Testimony. Please see below for submission link.
If not a member at Covenant, are you currently a member at a church?
*
Yes
No
For Covenant members, please check yes.
If yes, what church and how long have you been attending?
Please provide a name and contact information for someone at your church.
*
For Covenant member, specify N/A. For Covenant attender, specify how long you have been attending.
Why do you want to be involved with Children's Ministries at Covenant?
*
In what areas of Children's Ministries are you interested in working? (Check one or more)
*
Nursery
Children's Church
Sunday School
Kids' Club - Mosby
Kids' Club - Cedar Hill
ESL Childcare
Special Buddy
Through The Roof
Vacation Bible School (VBS)
Scouting Program (American Heritage Girls, Trail Life)
Other
What experience do you have working with children?
*
What other ministry experience have you had in the last five years?
List any special children’s ministry related abilities or skills you have (music, event planning, special needs, etc.).
Any additional comments that might be helpful:
CHILD PROTECTION
Covenant Presbyterian Church requires anyone who works with children (17 years of age and younger) to be Child Protection Approved. If you are unsure if you are Child Protection Approved, please contact
Rebecca Griffin.
If you are NOT Child Protection Approved please complete the following:
REFERENCES
All applicants are required to
provide two, NON-RELATED references
who are 18 years or older, and can attest to your character and, if possible, have observed your behavior and interaction with children.
Click to provide your references.
The form will open in a new tab.
DISCLOSURE STATEMENT
Applicants 15 years and older need to fill out a Disclosure Statement.
Click to submit the Disclosure Statement.
The form will open in a new tab.
BACKGROUND CHECK
Applicants 18 years and older need to fill out a Background Consent Form.
Click to submit the Background Check Consent.
The form will open in a new tab.
TESTIMONY
If you are not a Covenant member
, please submit a brief testimony of your Christian experience including how you came to know Jesus Christ as your Savior and how you maintain a close relationship with Him.
Click to submit your Testimony.
The form will open in a new tab.
SIGNATURE
*I have read and agree to all Child Protection Policies and Children's Ministries Procedures. I am giving my authorization to Covenant Presbyterian Church to verify the information on this form and to contact my references.
Name
*
First
Last
Signature
*
Clear
Date
*
MM
/
DD
/
YYYY
TextArea List
TextArea 1
TextArea 2