Children's Ministry Volunteer Application

Name * First Last
Maiden Name or AKA Name(s)
Email *
Cell Phone Number ### - ### - ####
Home Phone Number ### - ### - ####
Work Phone Number ### - ### - ####
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Are you a member of Indiana Avenue Baptist Church?
Yes No
If yes, how long have you been a member?
If you are not a member, how long have you been attending?
If you are not a member, where is your home church?
Please list other churches where you have attended regularly in the last five years:
Experience
Have you ever worked at a church before in a ministry or other work involving either children or youth? *
Yes No
If yes, where did you work and what did you do?
Personal References

List three, giving name, email/ mailing address, and telephone number. List no relatives.
#1 - Name First Last
#1 - Years Known
#1 - Email/ Mailing Address
#1 - Phone Number ### - ### - ####
#2 - Name First Last
#2 - Years Known
#2 - Email/ Mailing Address
#2 - Phone Number ### - ### - ####
#3 - Name First Last
#3 - Years Known
#3 - Email/ Mailing Address
#3 - Phone Number ### - ### - ####
Criminal History
Have you ever been charged with or convicted of child abuse or a crime involving sexual molestation of a minor? *
Yes No
If yes, please explain.
Certification & Authorization

The information contained in this application is true and correct. I understand that I may be removed as a volunteer if any information given in this application is false or misleading, regardless of the time elapsed since discovery of such information.

I understand that my volunteering is contingent upon satisfactory completion of the required background check. There is a seperate online application for the background check.

By typing my name in the field below, I hereby acknowledge that I have read and agree to the above statements and have inquired about any information I do not understand.
Signature * First Last
Date * MM / DD / YYYY
We appreciate you and your willingness to volunteer and serve our Lord Jesus in the Children's Ministry at Indiana Ave Baptist Church.

The safety of our children is a high priority at IABC. A prerequisite to work in the Children's Ministry is to have a background check. A background check enables IABC to screen out individuals that have been convicted of a sex crime or abuse of a minor.

After we completing your application, you will be redirected to our Background Check Consent Form. Please fill this out as soon as possible. All forms are confidential.

Thank you for helping us provide the best for children at IABC.

Brenda Loftus
Preschool & Children's Minister
Thank you for taking the time to complete an application. After hitting submit you will be redirected to Step 2. Please complete the Background Check Consent Form as soon as possible.
Do Not Fill This Out

Indiana Ave Baptist Church

Experience

Personal References

Criminal History

Certification & Authorization

​Thank you for taking the time to complete an application. After hitting submit you will be redirected to Step 2. Please complete the Background Check Consent Form as soon as possible.

Thank you for taking the time to complete an application. After hitting submit you will be redirected to Step 2. Please complete the Background Check Consent Form as soon as possible.