eKids Volunteer Application

We're excited that you're interested in volunteering with Element Kids! Please complete the form below and we'll follow up with you soon.

GENERAL INFORMATION
Your Name *
Your Name
Today's date: *
Today's date:
Date of Birth *
Date of Birth
Address *
Address
Cell Phone *
Cell Phone
Marital Status *
Work Status *
Education
PERSONAL & SPIRITUAL HISTORY
Have you been baptized as a conscientious decision? *
Some examples would be computers, data entry, lesson planning, acting, public speaking etc…
LIFESTYLE & LEGAL
In caring for kids, we believe it is our responsibility to seek an adult volunteer staff that is able to provide healthy, safe and nurturing relationships. Please answer the following questions accordingly. Any special concerns can be discussed individually with the pastoral staff.
Are you currently being treated for alcohol or drug abuse? *
Have you used any illegal substances in the past 12 months? *
Have you been arrested for or convicted of an alcohol or drug-related offense in the past 12 months? *
Have you ever gone into treatment for alcohol or drug abuse? *
Are you not married and currently living with someone of the opposite sex? *
Are you not married and currently involved in a sexual relationship or sexual behaviors? *
Are you participating in a homosexual relationship? *
Have you ever engaged in, or been accused of, any child molestation, exploitation, or abuse? *
Have you ever had sexual relations with a minor after you became an adult? *
Have you ever been accused or convicted of any form of child abuse? *
Are you willing to have Element run a background check for Criminal Conviction Clearing? *
Have you ever been a victim of any form of child abuse? *
If yes, would you like to speak to a counselor or pastor? *
REFERENCES
Please provide two (2) references you have known at least one (1) year. Please do not list family members.
Reference 1 *
Reference 1
Please do not list family members.
Reference 2 *
Reference 2
Please do not list family members.
SIGN & DATE
The information contained in this application is correct to the best of my knowledge. I, the undersigned, give my authorization to Element Church or its representatives to release any and all records or information relating to working with minors. Element Church may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability as a youth worker. I understand that the personal information in this application will be held confidential by the professional church staff.
E-Signature: *
E-Signature:
Please type your name here as your electronic signature.
Today's Date: *
Today's Date: