Application to Volunteer with Children at NSF

Thank you for your interest in helping with our covenant children!

Basic Information

Full Legal Name

Date of Birth

This address will receive a confirmation email

Phone

Permanent Address

City & States Where You Have Lived in the Last 5 Years

Marital Status

Single Married

College Students

College Address with Box Number

Previous Work Experience (List 3 ONLY if applying as paid worker)

Employer, Type of Work, Dates & Name and Number of Who to Contact:

Personal References (List 3 non family references)

List Name, Phone Number, and Address

Church Life

Do you regularly attend church?

Yes No

Do you have a church membership?

Yes No

If so, please write the name of that church, and the city & state it is in.

How long have you been attending this church?

If less than 5 years, please list the name, city & state of other churches you have attended in the last 5 years.

What activities are you involved in at NSF? (select all that apply) Fellowship Group Community Suppers Women's Bible Study or Events Men's Discipleship Youth Group Young Adults Sunday School

Testimony

Are you a Christian?

If yes, what changes has Christ made in your life?

Experience with Children

Describe your experience in a few sentences.

Have you had any training, education, or callings that have prepared you for work with children? If so, please list that experience.

What ages are you most interested in helping?

Select all that apply

Nursery (0-4 year olds) Children's (Pre-K - 5th grade) Youth (6th-12 grade)

What role(s) are you interested in?

Check all that apply Teacher Helper

It is our primary goal to make sure our children are well cared for and safe. These questions are for their protection.

Have you ever been arrested?

Yes No

Have you ever been convicted of a crime?

Yes No

Is there anything in your history that would affect your ability to work with children?

Yes No

Have you ever abused a child?

Yes No

Have you ever been accused or convicted of child abuse, or a crime involving actual or attempted sexual molestation of a minor?

Yes No

If you answered yes to any of the above questions, please explain.

Release Statement

The information contained in this application is correct to the best of my knowledge.
I authorize any references or churches listed in this application to give you any information which they may have regarding my character and fitness for work with minors.
I release all such references from liability from any damage that may result from furnishing such evaluations to you and I waive any right that I may have to inspect information from such references provided on my behalf.
I also authorize the release of any information which pertains to any records of convictions contained in any police department or law enforcement files maintained on me.
I hereby release all such law enforcement agencies from any and all liability resulting from such disclosure.
Should my application be accepted, I agree to be bound by the policies of North Shore Fellowship on behalf of the church.
I acknowledge that these policies and applications do not constitute a contract between the church and myself, and that North Shore Fellowship is not responsible for the individual acts of any worker.
I also understand in applying for this position that I am agreeing to comply with the Child Protection Policy of North Shore Fellowship, which may include an interview containing some personal questions.

I have read and understood the above statements.

Yes No

Covenant to Teach and Nurture (ONLY REQUIRED FOR TEACHERS)

The Session asks each applicant to read the following document as an indication of scriptural beliefs.
God has promised to preserve to eternity only two things: his people and his perfect Word.

In confirmation of my acceptance of these principles of faith I do:
1. Believe the scripture of the Old and New Testament as originally given to be the inerrant Word of God, the only infallible rule of faith and practice.
2. Sincerely receive and adopt the Westminster Shorter Catechism as containing the system of doctrine taught in the holy scripture, and do further promise that if at any time I find myself out of accord with any of
the fundamentals of this system of doctrine, I will, on my own initiative, make known to my director the change which has taken place in my views. (my signature below also indicates that I have read Westminster Shorter Catechism questions 1-42 and 92-97.)
3. Approve of the form of government and discipline of the Presbyterian Church in America in conformity with the general principles of biblical polity.
4. Promise to submit to the Session and to submit to my fellow believers in the Lord.
5. Believe that Jesus Christ is my personal Lord and Savior.

Because of these convictions and because I have been led by the Holy Spirit in my desire to teach my fellow Christians, I do therefore covenant with God:
1. To teach the basic textbook for the church, the Bible, or materials that are in accordance with this primary source, and to fulfill my responsibilities as outlined in the children’s ministry handbook.
2. To be diligent in the study of the scriptures and to attend worship regularly.
3. To maintain a teachable spirit and to adhere to North Shore Fellowship’s children and youth policies and procedures adopted by the Session.

If you will be teaching, please indicate that you have read and agree with the statement above. Yes No

Today's Date

Application to Volunteer with Children at NSF

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