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.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Home Phone
###
-
###
-
####
Cell Phone
*
###
-
###
-
####
Work Phone
###
-
###
-
####
Email
*
Date of Birth
*
MM
/
DD
/
YYYY
Occupation
Are you currently a member of a church? If so, where?
(If not at Covenant, please give a contact name and phone number of someone at your church.)
*
How long have you been coming to Covenant?
*
In what areas of the Children's Ministries are you interested in working?
*
Nursery
Children's Church
Sunday School
Special Buddy
After School Program -Elementary
After School Program -Middle School
Kids' Club
Through The Roof
Vacation Bible School
Scouting Program (American Heritage Girls, Trail Life)
ESL Childcare
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:
Personal References
Please give two references who are 18 years or older and NOT a member of your family, who can attest to your character and, if possible, have observed your behavior and interaction with children.
REFERENCE #1 Name
*
First
Last
Ref #1 Email
*
Ref #1 Address
Street Address
City
State / Province / Region
Postal / Zip Code
Ref #1 Phone
*
###
-
###
-
####
Ref#1 Relationship
Must not be a member of your family
REFERENCE #2 Name
*
First
Last
Ref #2 Email
*
Ref #2 Address
Street Address
City
State / Province / Region
Postal / Zip Code
Ref #2 Phone
*
###
-
###
-
####
Ref #2 Relationship
Must not be a member of your family
All information on this application is confidential and will be used solely by the CPC staff for
evaluative purposes only.
*
I have read and agree to all Child Protection Policies and Children’s Ministry Procedures. I am giving my authorization to Covenant Presbyterian Church to verify the information on this form and to contact my references.
If you are not a Covenant member, please email 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.
Email testimony to childprotection@cov-pres.org
Applicants 15 years and older need to fill out the Disclosure Statement.
Applicants 18 years and older need to fill out the Background Check form.