Volunteer Application

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Safe Sanctuary Policy First Presbyterian Church, Arlington Heights, Illinois

Volunteer Application for Children’s and Youth Ministries Release and Activity/Interest Form This application and information form supports our efforts to help the Church provide a safe and protected environment for children and youth who participate in our programs and use our facilities. It is used in connection with the Safe Sanctuary Policy of the Church. The information recorded on the form will be kept confidential and reviewed only by the Pastoral Staff, Directors of Children and Youth Ministries, and the Business Administrator and will be kept on file in a secure location. Thank you for your interest in working with children and youth! Today’s date: Legal Name: Last

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Affirmation of True and Complete Information I understand that the information I provided may be verified if necessary, by contacting persons or organizations named in this application or persons or organizations that may have relevant information concerning me. I hereby release and agree to hold harmless from liability any person or organization that provides information in good faith. In signing this form, I affirm that the information I have given herein is true and correct. Signature of Applicant

Home Phone: Cell Phone:

Date

Email: When is the best time to contact you?

Current occupation: Work Phone: Page 1 of 2

Church History/Church Activity/Interest Areas 1) Are you a member or regular attendee of First Presbyterian Church? Please check one: ______ Member ______ Regular Attendee - When did you begin attending? (Month and Year) ______________ 2) What are you doing to grow in your faith at the present time? (Bible study, worship, etc.) ________ ________ 3) Have you had leadership or volunteer experiences with children or youth? If yes, please list. ________ ________ ________ 4) Do you have any training or education that has prepared you to work with children or youth? If yes, please list. _________________________________________________________________ ________ ________ 5) Are you currently involved in any Church ministries and activities? ________ ________ 6) Age / Grade Ministry you would most like to serve:

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7) Previous to the Church, what other Churches have you attended in the last ten years? ________ ________ Name: Last

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