Children

FCC Children’s Ministry Application

Legal Last Name

Legal First Name

Legal Middle Name

Nickname

Street Address

City

State

Zip

Gender

Female

NoMalle

Birthday

Mobile

Home

Emergency Contact Name

Emergency Contact Number

Work Status

Occupation

Place of Employment

Number of Years

Marital Status

Single

Married

Divorced

Widowed

Spouse's Name

Number of Children

Ages

Do you have a personal relationship with Jesus Christ?

Yes

Briefly describe

Why do you want to serve in Children’s Ministries?

List any leadership/volunteer experience you have had with children (none required)

List any training or education that has prepared you to work with children (none required)

Are you a regular attendee at FCC?

Yes

If NO, which church do you attend?

If YES, years at FCC

Pastor's Name

Phone Number

Have you been active in ministry at Fremont Community Church?

Yes

How long?

Reason for Leaving

Personal Reference 1 - Name

Personal Reference 1 - Address

Personal Reference 1 - Phone

Personal Reference 2 - Name

Personal Reference 2 - Address

Personal Reference 2 - Phone

Personal Reference 3 - Name

Personal Reference 3 - Address

Personal Reference 3 - Phone

Serving Preferences:

Little Sparks (birth-23mo.)

Sparks (Ages 2-5)

GLOW (K-4th Gr.)

Club 56 (5th&6thGr.)

Ministry:

Sunday 10

Special Events

The questions below are part of the process to help provide a safe and secure environment for our children and youth. All information is help strictly confidential by the ministry staff. Please address these questions accordingly. Any special issues can be addressed to the pastoral staff on an individual basis.

Have you ever been accused or convicted of the use or sale of illegal drug?

Yes

Have you ever used illegal drug?

Yes

Have you ever been hospitalized, treated for, or struggled with alcohol or substance abuse?

Yes

Have you ever been charged with a misdemeanor or felony?

Yes

Have you had any experiences that might make it difficult for you to minister to children and youth at Fremont Community Church?

Yes

Are you engaged in any habitual conduct that is contrary to the teachings of the Bible?

Yes

Have you ever had sexual relations with a minor?

Yes

Have you ever been accused or convicted for any form of child abuse?

Yes

Do you have any health issues that could place the children of Fremont Community Church at risk?

Yes

Have you ever been denied legal custody of your children in any legal proceedings including divorce decrees or settlements?

Yes

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

Fremont Community Leader’s Covenant - Having committed to our teaching and leadership ministry, and the habits essential for spiritual maturity, I will commit to:

Read the Children’s Ministry Volunteer/Employee Handbook and practice the security measures in place at Fremont Community Church.

Prepare for ministry by growing in my personal relationship with Christ.

Support the leadership by praying for the Children’s Ministry Staff, leaders and the children in my class.

The information I have provided is correct to the best of my ability and knowledge. I, the undersigned, give my authorization to Fremont Community Church or its representatives to release any and all records related to working with minors. Fremont Community Church may contact appropriate government agencies deemed necessary in order to verify my suitability as a leader for children’s ministry. Should my application be accepted, I agree to follow the policies of Fremont Community Church and to refrain from unscriptural conduct in performance of my services on behalf of the church. I understand that the personal information will be held confidential by the professional church staff.

Applicant’s Signature

Date

Children’s Environments

Nursing Mom's Room

Nursery

Preschool

Elementary

Child Dedication