Phone number *
Phone type Mobile Home Work Other
I'm interested in serving in... *
Check your top 3 areas of serving interest. In the "Other" box, indicate your primary area of interest.
There are extra questions to answer if so.
There are some parent signatures required if so.
There are extra questions to answer if so, so just check this box.
Have you ever been concerned that you may have an addiction to drugs, pornography or any other addiction, or has anyone ever suggested that you may have a problem with any of the above? *
Select… Yes No
Gender *
Select… Male Female
Marital status *
Select… Single Married Widowed Divorced Separated
Why would you like to be involved in these areas? *
Is there anything in your past that might come up as a questionable issue? *
Are you willing to humbly submit to constructive criticism, suggestions, and the leadership of others? *
How long have you been a Christian? (Give a brief description of your relationship with Jesus Christ)
List three of your strengths
List three of your weaknesses
Give three personal references (one should be your pastor) *
At least two of these references should be professional references, not family members.
We can't add you to a volunteer team until we receive your background check back. This is a standard step we have all who are interested in volunteering do. If you are 18 or over, watch your email for a background check request from Checkr within the next 24 hours.If you are 16-17, you will receive a different form within the next week through Choice Screening. You need your guardian with you when filling this out.
The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information (including opinions) that they have regarding my character and fitness for children or youth work. I authorize the release of the information contained in this application to any ministry at Heartland Church in which I seek a position (volunteer or compensated). In consideration of the receipt and evaluation of this application by Heartland Church, I hereby release any individual, church, children or youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family on account of compliance or any attempts to comply with this authorization. Should my application be accepted, I agree to refrain from unscriptural conduct in the performance of my services on behalf of the church. Further, I agree to be bound by the Constitution and Bylaws and Policies of Heartland Church. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement which I have read and understand.
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