Main Street Baptist Church
Wednesday, May 22, 2013
Young Disciple Ministry Worker Application
Name: ____________________________________ Date: ____________________
Mailing Address: _____________________________________________________
City/Town: ________________________________Email: ____________________
When is the best time for you to be contacted?
Are you a member of our church? If not, how long have you been attending Main Street?
Indicate the ministry position you would like to be involved in:
__ Lead Teacher __Teacher Assistant __Substitute ___other:
What ages/grade levels do you feel most comfortable working with?
Check the box below the most appropriately reflects your level of commitment:
___One school year ___Two school years
Please write a brief statement of how you became a Christian.
Explain why you are interested in teaching or assisting in our children’s Bible classes.
What ministry experience with children do you have?
Are you currently under a charge or have you ever been convicted of or pled guilty to child abuse or crime involving actual or attempted sexual misconduct or sexual molestation of a minor? ___Yes __No
Are you aware of …
If the answer is “yes” to any of these questions, please explain in detail:
Give two references (please exclude any family members):
Name: _____________________________ Phone #: ________________________
Name: ____________________________ Phone #: ________________________
Applicant Verification and Release:
I recognize that the education committee of Main Street Baptist Church of Oneonta NY to which this application is being submitted is relying on the accuracy of the information contacted herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct.
I authorize the education committee to contact the above two references, and I further authorize these persons to provide the education committee with information, opinions, and impressions relating to my background or qualifications.
I voluntarily release Main Street Baptist Church of Oneonta NY and my references listed herein from liability involving communication of information relating to my background or qualifications.
I have carefully read and reviewed the job description and the additional information the education committee has provided in regard to this children’s ministry. I agree to abide by the policy and procedures of the ministry program and to protect the health and safety of the children or youth at all times.
Printed name: _______________________________________________________________