Step 1 of 7 14% Dear Children's Ministry or Youth Ministry Applicant Thank you for your interest in volunteering with us in the Children’s or Youth Ministry. This is a very rewarding assignment because the investment in their lives has eternal fruit. We will process your application and then call or email you for an interview which gives us both a chance to share our hearts and vision. Our insurance requires us to run background checks on any individual that works with children under the age of 18 every 2 years. To help us get our background checks done in a timely manner, would you fill out the attached form and mail it back to us as soon as possible? Please note, your background checks are 100% confidential, and are kept in a locked file cabinet. Your information will not be shared with any unauthorized individuals. Please don't hesitate to email us if you have any questions. Blessings Marlene Allen, Associate Pastor marlene@bridgeway.us A Note to Parents of Young Children We want each classroom to be a safe and happy place where the children can learn and grow in the best environment. Because of this, we ask that each family who have children ages birth-5th grade serve in children’s ministry as a classroom helper. We recognize that you are the primary spiritual influence in your child’s life and by being actively involved in children’s ministry you will be more familiar with what your kids are being equipped with. It also affords you a chance to gain some additional tools you might use at home. Either spouse can be the classroom helper to satisfy the requirement. Some spouses choose to rotate which spouse comes back on the day your family is scheduled instead of having the same spouse serve every time. Grandparents or a trusted friend are also allowed to step in and be a children’s ministry helper in the case of a single parent. Below is a list of options for you to choose from. For parents of nursery age children, we ask that you serve in the nursery/ toddler room and change to another classroom if you wish once your child moves up to the Doves classroom when they reach two years of age. Areas of Opportunity Children's Department Sparrows (nursery) Doves (walking -3 year olds) Eaglets (3-kindergarten) Kids Worship (1st-5th grades) – Serve once a month from 9:15-10:30. Sound team – 2nd, 3rd and 4th Sundays Floater – The floater works once a month from 9:00 to 12:00 on Sundays. He or she gives newcomers a tour once their kids are checked in and then offers any assistance as needed in the classrooms. Youth Department Middle School (6th-8th Grades) High School (9th- 12th Grades) CONFIDENTIAL APPLICATION & SCREENING FORM This application is to be completed by all applicants for any position involving the supervision of minors. It is being used to help the church provide a safe and secure environment for those children and youth who participate in our programs and use our facilities. It will be required that each applicant agrees to a criminal background check before beginning this ministry. Personal InformationName(Required) First Middle Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Enter Email Confirm Email Social Security Number(Required) (ex 123-45-6789)Date of Birth(Required) MM slash DD slash YYYY Maiden name or other names used in the past. Employment InformationCurrent Employer(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Supervisor Name(Required) First Last Supervisor Phone Number(Required)Please list job description and how long you've been employed there.(Required)Refrences(Required)NamePhone NumberRelationship Add Remove Serving InformationMy serving preference is below (Please give us your top 3 preferences)(Required) Sparrows (nursery) Doves (walking -3 year olds) Eaglets (3-kindergarten) Kids Worship (1st-5th grades) – Serve once a month from 9:15-10:30. AV team – 2nd, 3rd and 4th Sundays Floater – The floater works once a month from 9:00 to 12:00 on Sundays. He or she gives newcomers a tour once their kids are checked in and then offers any assistance as needed in the classrooms. Middle School (6th – 8th Grades) High School (9th – 12th Grades) Administrative during the week (at home or at church) Church History InformationAre you a born again believer? And if so, for how long.(Required) How long have you been attending BridgeWay?(Required) Are you a member of a Life Group? If so, which one.(Required) List other churches you have attended regularly during the past five years.(Required)NamePhone NumberCity / State Add RemoveDo you have any previous church work experience involving children or youth?OrganizationPhone NumberSupervisorExperienceDates Add RemoveTalk about any gifts, callings, training, education, or other factors that you believe have prepared you for children or youth work.(Required)Why are you interested in children & youth work now?(Required) Background InformationThe following questions are very personal in nature. All answers will be confidential between you and the church staff. Answering yes will not automatically disqualify an applicant from working in the Children‘s or Youth Ministry.Do you abuse illegal drugs or alcohol? If so, please explain.(Required)Have you ever been treated for drug or alcohol abuse? if so, please explain.(Required)Describe your current relationship with family and friends:(Required)Have you ever been convicted of charges involving children or reported to social services? If so, please explain.(Required)Have you ever been a victim of abuse or molestation as a minor? If so, please explain.(Required)Have you ever been accused or convicted of child abuse or a crime involving actual or attempted physical or sexual abuse? If so, please explain.(Required)CONFIDENTIAL BACKGROUND INVESTIGATION CONSENT I hereby authorize BridgeWay Church and/or its agents to make an independent investigation of my background, references, character, past employment, education, criminal, or police records, including those maintained by both public and private organizations and all public records for the purpose of confirming the information contained on my Application and/or obtaining other information, which may be material to my qualifications as a volunteer or for employment now, and if applicable, during the tenure of my volunteering or employment with BridgeWay Church. I release BridgeWay Church and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regards to the information obtained from any and all of the above referenced sources used.Signature(Required) Reset signature Signature locked. Reset to sign again The information contained in this application form is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information verbally or written (including opinions) that they may have regarding my character and fitness for children or youth work. Your signature on this form confirms your understanding and agreement that: (1) In the event allegations of criminal or sexual misconduct arise regarding your conduct while you serve in the above described capacities, the church will fully cooperate with any ensuing investigation and/or prosecution. (2) The church will have the right to announce the facts/results of same publicly if deemed necessary or appropriate by the church. Should my application be accepted, I agree to be bound by the policies of BridgeWay Church, and to refrain from unscriptual conduct in the performances of my services on behalf of the church. I also fully concur and agree with the church statement of faith, and if asked to, my teaching will represent these views. I will also uphold the vision, values, and philosophy of ministry of BridgeWay Church as outlined in the BridgeWay Discovery class and manual. I further state that I have carefully read the forgoing release and know the contents thereof and I sign this release as my own free act. This is a legally binding agreement which I have read and understand. Signature(Required) Reset signature Signature locked. Reset to sign again