Children’s Ministry Application Children's Ministry Volunteer Application For future children's ministry workers. Safety Application Form for Children and Young Adults Ministry VolunteersThis application should be completed by all applicants for any position involving the supervision of children or students. This is not an employment application. The purpose of this form is to assist in the creation of a safe environment for children or young adults who participate in the programs of The Field Church or use of facilities.Name* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Cell Phone*Sex:* Male Female Date Of Birth* Date Format: MM slash DD slash YYYY Age*Marital Status:*(single, married, separated, divorced, widowed, etc.)Please list all previous volunteer work or employment involving children or students (List each organization’s name, type of work, dates, and a contact person familiar with your work there.)*List any talents, vocations, preparation, training or other experiences that have equipped you to work with children or students:*Please List 3 References* First Last * First Last * First Last Because we care for children and desire to protect them, please answer the following questions. We understand that the answers to these questions may be private and deeply personal, and we will protect your privacy in every possible context. It is the position of The Field Church that suspicions or allegations of child abuse or neglect will be reported to relevant state authorities.Why do you want to work with children or students at The Field Church?*Do you have a preference concerning the age group of children with whom you would like to work? If so, what is the basis for this preference?*What is your philosophy concerning re-direction or discipline of children?*When you are unhappy, angry or emotional about a person or circumstance, what do you do?*Have you ever physically or sexually abused a child?*Has someone ever accused you of physically or sexually abusing a child, or molesting a child?*Do you consider yourself to have been physically or sexually abused as a child?* Yes No (We realize this information is potentially sensitive, and it will be kept entirely confidential, where another child’s safety is not negatively impacted by confidentiality.)If so please explain:RELEASEI authorize The Field Church to contact all individuals, organizations and references listed on this Safety Application Form in order to verify the information I have provided. I agree to release from liability any person or organization providing information related to me, including those persons I have listed as references, as well as contact persons from my previous volunteer work or employment with children. I specifically authorize The Field Church to undertake a criminal background check concerning my past. I understand and agree that any information received from the background check and application verification will not be disclosed to me except as required by law, and I hereby waive any right I may have to inspect any information provided about me by any person or organization identified by me on this form. By signing this form, I certify and affirm that the information I have given on this form is true, complete and correct in all respects.*Please type your name which will serve as your signature.