EmailMe Form - CHILDREN'S MINISTRIES VOLUNTEER APPLICATION

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? *

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

Personal 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.

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.

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.