visit our church website at www.simpsonwoodumc.org

Volunteer Application

** You can also download a hard copy of this application and mail it to us in our church office **

                     

                      :: general information ::

your name ::

(first)                                                (last)

home address :: 
city ::
state ::
zip ::
e-mail ::

please ::

re-enter your e-mail address to confirm

phone::
alternate phone ::
profession/occupation ::
education (please check the last level completed)::

  Did not finish high school

  GED

  high school diploma

  undergraduate degree

  graduate degree

  post-graduate (i.e., doctorate)

how long have you

attended simpsonwood ::

special interests, hobbies, skills ::

how many hours per week

are you available to volunteer ::

please let us know your availability

(check all that apply) ::

  days     evenings     weekends

 

                      :: personal history ::

please list the names addresses of other churches you have attended regularly during the past five years, noting all previous work involving children and youth and the name of a supervisor for each ministry ::

why would you like to volunteer as a worker with youth ::

what qualities do you have that would help you work with youth ::

how were you parented as a child ::

how do you discipline your own children ::

 

                      :: background history ::

have you ever been charged, convicted of, or pled guilty to a crime, either a misdemeanor or a felony (including but not limited to drug-related charges, child abuse, other crimes of violence, theft, or motor vehicle violations) ::

yes     no
have you ever been exposed to an incident of child abuse or neglect :: yes     no
if yes, how did you feel about the incident ::
would you be available for periodic volunteer training sessions :: yes     no
are there any moving violations on your driving record :: yes     no

if yes, please explain ::

 

to the best of your knowledge, is there anything from your past that would disqualify you from working with youth :: yes     no
if yes, please explain ::

 

                      :: references ::

               please list two personal references (people who are not related to you by blood or marraiage)

               and provide a complete address and phone information for each.  references are confidential.

REFERENCE 1

name ::

address ::
daytime phone ::
evening phone ::
relationship to reference ::
   

REFERENCE 2

name ::

address ::
daytime phone ::
evening phone ::
relationship to reference ::

 

                      :: faith statement ::

please provide a brief testimony of your Christian faith journey (including date of membership, date of baptism, affirmation of trinity) ::

 

                      :: applicant's statement ::

The information I have given in this application is correct and complete to the best of my knowledge.  I agree that false information or significant omissions may disqualify from further consideration for service and may be considered justification for dismissal if discovered at a later date.  I also authorize Simpsonwood UMC to contact references and to conduct background checks that could include review of personal records such as driving, police, etc.

 

Should my application be accepted, I agree to be bound by the constitution and policies of Simpsonwood UMC.

I have read and understand the Youth Ministry Policy and Guidelines

I authorize that all information given in this application is correct and complete to the best of my knowledge.

 

 

 

 

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