nursery volunteer Application

We are always in need of willing and able nursery volunteers! Please fill out the below application to get started.

 

Name *
First Name
Middle
Last Name
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Email*
Phone Number*
Date of Birth*
Drivers License No.
State of License
Marital Status *
If married, spouses name
Have you ever had or used a different name?*
If yes, please list all other names and dates during which you used those names
How long have you been a member of Kenwood Baptist Church? *
Please list all church memberships and dates of membership for the past 5 years. List church names and city/state of churches. *
Please express your purpose in desiring to volunteer for children’s ministry at Kenwood Baptist Church. *
Please list previous church and non-church work involving children. For each, include where, duration of work, and in what capacity you served. Also please describe any special training, education or other factors (including medical/musical) that would apply to your ministry to children.
Have you ever been convicted of a misdemeanor or felony?*
If yes, please explain
Has a civil or criminal complaint ever been filed against you that alleged sexual misconduct or child abuse by you or participation in or facilitation of such activities?*
If yes, please explain
Have you ever chosen not to renew or continue employment or volunteer service, had your employment or volunteer service terminated, or been subject to disciplinary action for reasons relating to allegations of sexual misconduct or child abuse by you?*
If yes, please explain
Personal Reference #1 *
First Name
Middle
Last Name
Phone*
Email*
Relation*
Personal Reference #2 *
First Name
Middle
Last Name
Phone*
Email*
Relation*
Personal Reference #3 *
First Name
Middle
Last Name
Phone*
Email*
Relation*
Are you available to serve on the Wednesday evening rotation?*
This information is true, correct, and complete. Any misstatement or omission of fact may result in the cessation of my volunteer services. I grant permission for Kenwood Baptist Church to check my references listed and release Kenwood Baptist Church from any and all resultant liability, claims, or lawsuits in regards to the information obtained. In addition, I submit to a criminal background check and online sex offender check.*