GENERAL INFORMATION

Full Name

First Name

Last Name

Phone Number

(###)

###

####

Date of Birth

YYYY

Occupation/Employer

Gender

Allergies or Medical Information

Please include any emotional, mental health, physical, or behaviour concerns that are prevalent.

EMERGENCY CONTACT INFORMATION

Primary Emergency Contact

First Name

Last Name

Primary Emergency Contact Phone

(###)

###

####

Relationship to Applicant

VEHICLE INFORMATION

Do you have a driver's license?

YES

Are you willing to drive for ministry functions?

YES

Any serious traffic violations/accidents within the past 3 years?

YES

Do you own a car?

YES

Are you willing to use that car for ministry functions?

YES

SPIRITUAL AND YOUTH CARE HISTORY

How long have you attended the Calgary Full Gospel Church:

If you do not attend CFG, how did you get connected to CFG Youth?

When did you accept Christ as your Saviour:

Did you attend any other churches before Calgary Full Gospel?

If yes, please provide church name and years attended.

Have you had any experience working in other ministries within or outside of CFG?

If yes, please give details.

Do you have any other training, experience, or certification that would equip you to work with youth?

If yes, please give details.

REFERENCES

Please provide us with two references that can speak to your character and ability to fulfill the necessary responsibilities of a youth leader. ONLY ONE REFERENCE CAN BE A CURRENT CFG YOUTH LEADER AND YOUR REFERENCES CANNOT BE RELATED TO YOU.

REFERENCE 1

First Name

Last Name

Phone

(###)

###

####

Relationship to Applicant

REFERENCE 2

First Name

Last Name

Phone

(###)

###

####

Relationship to Applicant

"I give CFG Church permission to do a background check"

Please choose yes to give permission for us to reach out to your references.

CONFIDENTIAL INFORMATION

In order to provide a safe and secure environment for our children, we believe it is necessary to include the following questions as part of our application process. All information will be kept strictly confidential. (Police/Court Services may access this information under a warrant if requested). Answering “yes” to any of the questions may not necessarily preclude your involvement in ministry. A meeting will be arranged with a Youth Pastor so that you may discuss the circumstances. Thank you in advance for your understanding.

If any of these apply, please reply "yes" below:

- I have a criminal record (includes excused crimes and crimes under the YCJA) - I have been arrested or convicted of any abuse-related crimes. If so, please explain: - I have been accused of a criminal offence or been investigated by the Child Welfare Agency. - I have been accused of impropriety with children or youth. - I have experimented with illegal drugs. - I have been the subject of a civil lawsuit involving sexual misconduct, sexual harassment or other immoral behaviour or conduct involving children, youth or adults - I have been the subject of any disciplinary action, transfer or dismissal, or been named as a defendant in a civil or criminal lawsuit as a result or mishap involving children or youth. - I have been the subject of any disciplinary action (including discharge) or investigation by a church, religious or other organization, or by an employer.

Please check yes if any of the above apply and no if none apply.

If you chose yes, please provide details:

PERSONAL DETAILS

What skills or interests do you have that could be an asset as a youth leader? (Provide at least three answers)

Some examples: Creativity, Leadership, Leading Worship, Activity Planning, Food prep, Organization, Prayer, Administration, Financial management, Networking, Fundraising, Event Planning, Public speaking, Branding/graphic designs, Promotion, Social networking, Communications/Marketing, Mentoring, or Ministry development

Why do you want to be a part of our team?

Three words others would use to describe you:

Where do you want to be involved and how much time are you able to commit?

*see time commitment on the expectations document (ex. Friday night, Sunday morning, once a month, etc.)

Other comments or facts you think are important for us to know:

APPLICANT AGREEMENT

"I hereby give Calgary Full Gospel Church permission to contact persons named as references to ascertain my suitability for volunteer ministry. I release all such references from liability for any damage that may result from furnishing such evaluations to you. I give Calgary Full Gospel Church consent to verify the information provided herein and to contact the references listed. I waive any right to confidentiality and of any right to pursue damages against the church caused by the reference’s response. I also grant my permission for Calgary Full Gospel Church to perform a police record check, for purposes of my protection against any false allegations and for the protection of those I serve. I consent to such an investigation with the understanding that the results will be kept in strict confidence. I agree to adhere to the protection policies as adopted by this church. I understand that if my character or morals are deemed by church leadership to be inappropriate and/or criminal at any time during my volunteer service, Calgary Full Gospel Church will be entitled to terminate my assistance without expressed cause or prior notice regardless of any other oral or written statement by Calgary Full Gospel Church prior to, at, or following the date of volunteer service. I understand that Calgary Full Gospel Church is responsible for the welfare of any person or persons entrusted to my care. I will cooperate fully with the staff in the fulfillment of my duties and will keep all information I encounter, in my role as a volunteer, confidential. If at any time I find that for any reason I am unable to support the policies, procedures or doctrine of Calgary Full Gospel Church, I will gracefully and quietly resign from my volunteer position. If my supervisors find that I am in conflict with any of the policies, procedures or doctrines and we are not able to resolve the issue, I will gracefully and quietly agree to resign my volunteer position. I hereby acknowledge that, to the best of my knowledge, the information contained in this application for volunteer ministry is true and correct."

If you agree with the above statement, please choose "yes"

Information received is confidential and is being gathered for the purposes of screening ministry personnel and placing them into ministry with children or youth. The information gathered here will be used for the purposes of supporting the ministries at Calgary Full Gospel Church.