Phone Number *
Phone type Mobile Home Work Other
Previous 5 years addresses *
Years occupied
Gender *
Select… Male Female
Where would you like to serve? *
Please choose which area(s) you would like to serve in.
What other children's / youth volunteer experience do you have? *
Please list the organization, position, dates involved, and a contact name and phone number for EACH position.
Have you ever been convicted of, plead guilty, or plead no contest to any crime? *
Checking "yes" does not automatically disqualify your from serving in this ministry.
Select… Yes No
Have you ever been dismissed or forced to resign from a paid or volunteer position due to inappropriate or questionable behavior? *
Checking "yes" does not automatically disqualify your from serving in this ministry.
Select… Yes No
Have you ever been investigated by an agency charged with protecting the well-being of children and youth? *
Checking "yes" does not automatically disqualify your from serving in this ministry.
Select… Yes No
Have you, at any time, participated in, been accused of, convicted or, or plead guilty or no contest to abuse or any sexual misconduct? *
Checking "yes" does not automatically disqualify your from serving in this ministry.
Select… Yes No
Have you ever had an addiction to drugs, alcohol, or pornography? *
Checking "yes" does not automatically disqualify your from serving in this ministry.
Select… Yes No
Have you ever been accused or convicted of any type of workplace or ministry misconduct? *
Checking "yes" does not automatically disqualify your from serving in this ministry.
Select… Yes No
Is there anything in your lifestyle or past that would call into question your ability to work with children, youth or others? *
Checking "yes" does not automatically disqualify your from serving in this ministry.
Select… Yes No
What churches have you attended in the past five years? *
Please include the church name and a contact person at the church (please include their email and phone number)
Work History. Please list work history for the last 5 years. *
Employer
Reference #1 (Personal Reference) *
Please include their name, relationship, a contact phone number and email address.
Reference #2 (Professional or Ministry Reference) *
Please include their name, relationship, a contact phone number and email address..
Please read the statement below and type your name to verify the above information. Your typed name will be considered your signature acknowledging the information in this form is correct. *
I recognize that Cornerstone Church is relying on the accuracy of the information I provided on this NextGen Volunteer Application form. Accordingly, I attest and affirm that the information I have provided is true and correct.
Submit
