Application for Vertical K.I.D.S. Ministry
Please fill out this form completely including electronic signature and click submit.
Personal Information
Name
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Maiden Name
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
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This address will receive a confirmation email
Phone
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Social Security number (for Background check)
*
Date of Birth
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Gender
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Please select one option.
Male
Female
Marital Status
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Please select one option.
Married
Single
Widowed
Divorced
Spouse's name
Employer
*
Work Phone
*
Church Information
How long have you been attending Vertical Life Church?
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Do you attend worship service on a regular basis?
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Please select one option.
Yes
No
Are you a member of Vertical Life Church?
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Please select one option.
Yes
No
If you are not a member, what impediments are there to membership?
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Are you currently in formal Biblical counseling?
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Please select one option.
No
Yes
Are you currently serving in other ministries?
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Please select one option.
Yes
No
If yes, in which ministry are you serving?
What is your availability for Vertical Life Kids Ministry? (i.e., once/twice monthly, quarterly, etc.)
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Do you have a preference of age group?
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Please select all that apply.
Nursery
Pk-K
1st-2nd Grade
3rd-5th Grade
No preference
Spiritual Information
How did you come to know Christ?
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What is something God is teaching you currently?
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Please explain the Gospel in your own words.
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What do you consider to be your spiritual gifts?
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Why have you chosen to pursue ministry with children/youth?
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Experiences
What experiences have you had working with children/youth?
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Do you have any talents or abilities that you feel would benefit the children’s ministry?
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Please select one option.
Yes
No
If so, please explain:
References
Please list 2 references (other than relatives). References may be contacted for the purpose of verification or clarification.
Name
*
Phone
*
Relationship to you
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Name
*
Phone
*
Relationship to you
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Have you ever been accused of child abuse? (if Yes, please talk with one of the Elders to explain further.)
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Please select one option.
Yes
No
Have you ever been arrested for or convicted of illegal use of drugs, child pornography, or abuse of a child?
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Please select one option.
Yes
No
If so, please explain.
Authorizations
I authorize Vertical Life Church or other outside Service Company employed and engaged by Vertical Life Church for the purpose of performing a criminal background investigation, to seek information from the references listed on this application. I also authorize any references, churches and others listed in this application to give information (including opinions) that they may have regarding my character and fitness for work with children or youth.
I attest and affirm that the information included in this application is both honest and complete in any area that information was requested.
I voluntarily release Vertical Life Church and any person or organization from any liability regarding the communication of information regarding my background or qualifications.
I waive any right that I may have to inspect any information provided about me by those I have listed in this application.
I hereby authorize Vertical Life Church or its designated agent(s) to conduct both an initial and any future comprehensive reviews of my background for volunteer purposes as the Ministry may require or request.
Today's Date
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Electronic Signature of Applicant (Please Enter Your Full Name as the Electronic Signature)
*
Submit
Description
Please fill out this form completely including electronic signature and click submit.
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