Missionettes Ministry Volunteer Application

Thank you for your interest in joining our team!

How often would you like to volunteer?

Once a month

Twice a month

Three times a month

Other

Are you a member of this church?

Yes

In Process

First Name

Last Name

Phone Number

Driver's License / State Issued

Have you at any time ever been convicted of, or pleaded guilty or no contest to, any crime?

Yes

Have you at any time ever participated in, or been accused, convicted, or pleaded guilty or no contest to abuse or any sexual misconduct?

Yes

Are you aware of having any traits or tendencies that could pose any threat to children, youth, or others?

Yes

Are you aware of any reason why you should not work with children, youth, or others?

Yes

If the answer to any of these questions is “yes,” please explain in detail:

VERIFICATION AND RELEASE

I recognize that Mission Ebenezer Family Church is relying on the accuracy of the information I provide on Missionettes Ministry Volunteer Application form. Accordingly, I attest and affirm that the information I have provided is absolutely true and correct.

I voluntarily release the organization and any such person or entity listed on this application from liability involving the communication of information relating to my background.

Policy and Procedure Safety Statement

While volunteering as part of Mission Ebenezer Family Church (The Mission), I agree to provide a safe and supportive environment for all persons who come together in this place. I will do everything within my power to minimize the possibilities of any kind of personal abuse and ensure the safety of
those in my care.

Therefore, in all of my church relationships, I will seek to:
● Treat all children, youth, and adults with respect and consideration.
● Respect everyone’s rights to decline being touched in ways that make them feel uncomfortable.
● Maintain an attitude of respect, patience, courtesy, appropriate language, and maturity as a positive role model for children and youth.

In situations in which I relate with children and youth, I will seek to:
● Use positive techniques of guidance, such as redirection, positive reinforcement and encouragement rather than competition, comparison, and criticism.
● Have age-appropriate expectations and establish an environment that minimizes the need for discipline.
● Refrain from any behavior that could be considered abusive.
● Be sure the children and youth for whom I am responsible are always well supervised during church activities.
● Not use, possess or be under the influence of alcohol or illegal drugs during the times I am working with children and youth.

I understand that abiding by these promises and policy guidelines is important and necessary to my participation with children and youth as part of The Mission’s Volunteer Program. If I fail to abide by them, I realize that I may be reassigned or relieved from my church-related duties at the full discretion of church leadership.

I have carefully read the policy and procedures of the organization, and I agree to abide by them and to protect the health and safety of the children or youth assigned to my care or supervision at all times.

Signature