New Life Chapel

Application to Work with

Children or Youth

This application is to be completed by all applicants for volunteer positions involving the supervision or custody of minors. This is not an employment application form.

Psalm 127:3,4 - Behold, children are a heritage from the Lord, the fruit of the womb is a reward. Like arrows in the hand of warrior, so are the children of one’s youth.

Matthew 19:13-15- Then people brought little children to Jesus for him to place his hand on them and pray for them. But the disciples rebuked them. Jesus said, “Let the little children come to me, and do not hinder them, for the kingdom of heaven belongs to such as these.” When he had placed his hands on them, he went on from there.

We truly believe that children and youth are a direct heritage from the Lord. It is our heart and responsibility to “train up a child” in a way that he/she should go. Thank you for partnering with us.

GENERAL INFORMATION

Department you want to serve in: Nursey, Kids or Youth

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Do you regularly attend our worship services??

When did you start attending?

YYYY

Are you a member of New Life Chapel

When did you become a member

YYYY

Ministry Information:

Are you currently serving in another church ministry? If so, Please list:

I have chosen to work with children because.....

Have you personally and publicly accepted Jesus Christ as your Lord and Savior?

Are you committed to striving to display the charactor of Jesus though your life?

Personal Disclosure Information (Please circle appropriate response)

Do you have any children of your own?

Ages:

Have you ever been treated for a psychiatric disorder?

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

If yes, explain.

Have you ever been arrested, charged, or alleged to have, or have you ever committed any act of neglecting, abusing, or molesting a child?

Comments

Have you ever been concerned that you may have an addiction to drugs, alcohol, pornography, or any addiction; or has anyone ever suggested that you may have a problem with any of the above?

Comments

Have you ever been convicted of possession, use or sale of drugs within the last seven years?

Comments

Within the past 30 days, have you abused alcohol, legal, or illegal drugs?

Has your driver's license been suspended or revoked within the last 12 months?

Is there any fact, circumstance, or pattern involving your background that would make it inappropriate for you to serve with minors or would compromise that integrity of the church?

If so, explain.

Church History and Prior Children's Work

Previous church work involving children (list church name, city, state, and type of work performed)

Previous non-church work involving children (list each organization, city, state, and type of work performed)

Applicant's Statement

The information contained in this application is correct to the best of my knowledge. I authorize any references, churches, or organizations listed in this application to give you any information (including opinions) that they have regarding my character and fitness for children's ministry/youth ministry. I authorize the release of information contained in this application to any individuals who make decisions about placing applicants in available positions. In consideration of the receipt and evaluation of this application by our church, I hereby release our church and any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages if whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.

Should my application be accepted, I agree to refrain from unscriptural conduct performance of my service on behalf of the church.

I further state that I HAVE CAREFULLY READ THIS FOREGOING RELEASE AND KNOW THAT THE CONTENTS THEREFORE AND SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement that I have read and understand.

Applicant's Signature

Date

YYYY

Parent's Signature (if applicant is under 16)

Background Check

New Life Chapel Code of Conduct

Getting To Know You NLC Kid's Volunteers

Volunteers | Child Abuse Mandated Reporter Training (mandatedreporterca.com)

CALIFORNIA VOLUNTEERS - AB506

Mandated Reporter Training for Volunteers provides an overview of the definitions, requirements and protections of the California Child Abuse & Neglect Reporting Act as it pertains to volunteers of youth service organizations and other entities that work with children. It satisfies the training requirement set forth under California Assembly Bill 506.

This standalone module is a 2 hour course that includes eight lessons and concludes with challenge questions/scenarios.

At the conclusion of the training you will take a final exam which will test the information that you have learned during the training. It consists of 10 questions and requires an 80% or higher to be completed. You may take this exam as many times as needed.

You will Learn

How the law defines child abuse and neglect
What the law requires of a mandated reporter
What protections the law provides for a mandated reporter
How to spot evidence of child abuse
How to report child abuse
What happens after a report is filed

The Volunteers training may take you up to 2 hours to complete.

Volunteer Application

New Life Chapel

Application to Work with

Children or Youth

Volunteers | Child Abuse Mandated Reporter Training (mandatedreporterca.com)

CALIFORNIA VOLUNTEERS - AB506

You will Learn