Serving in Student Ministry

Confidential

This screening application is to be completed by all applicants for any adult position (volunteer or compensated) in the youth ministry of Living Hope Community Church. This is not an employment application form. It is being used to help the church provide a safe and nurturing environment for those youth who participate in our programs.

Name *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Cell Phone

Date of Birth

Marital Status

Single
Married

Spouse's Name

Employment:

Full Time
Part Time

Employer: *

Do you have a valid driver's license?

Yes
No

Driver's License Number:

Issuing State

Expiration Date

Please Explain

Are you a LHCC Member?

Yes
No

Please Explain

Why do you want to work with Living Hope Youth Ministry

Are you a Christ follower?

Yes
No

When did you become a Christian?

How would you describe your spiritual life right now?

List (name and location) other churches you have attended regularly during the past five years:

List all previous non-church work involving youth:

Have you ever been convicted of or pleaded guilty to a crime?

Yes
No

Please Explain

Personal References

(Non-relatives, employers, supervisors, church workers)

Name

Relationship

Address

Phone

Name

Relationship

Address

Phone

Signature

Clear Signature

*Submission of this application is an acknowledgement that you submit to having a preliminary background check performed using the information you have provided.

Confidential

Personal References

(Non-relatives, employers, supervisors, church workers)

LINKS

CONNECT

RESOURCES