element Kids 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.

Your Name *
Your Name
Date of Birth *
Date of Birth
Address *
Cell Phone *
Cell Phone
Marital Status *
Employment Status *
What's your preferred method of communication? *
Without a description of each, select a few areas that you enjoy or that interest you: *
You can select as many as you like.
If you were to lead in a kids environment, which age group do you prefer working with? *
You can select more than one.
Have you been baptized as a conscientious decision? *
Ex. computers; data entry; lesson planning; acting; public speaking; etc.
Are there any special circumstances happening in your life right now that would have an impact on your commitment and involvement with Element Kids? *
i.e. relationships, other commitments, etc.
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 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 currently involved in a homosexual relationship or engaging in sexual behaviors with someone of the same sex? *
Have you ever engaged in, or been accused of, any child molestation, exploitation, or abuse? *
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? *
Please provide two (2) references you have known at least one (1) year.
Reference 1 *
Reference 1
Reference 2 *
Reference 2
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: *
Please type your name here as your electronic signature.
Today's Date: *
Today's Date: