Sample of application form that could be used in church, when acquiring new leaders.
(INSERT NAME OF CHURCH AND KIDS DEPARTMENT NAME. ALSO AMEND TO SUIT YOUR POLICIES AND STANDARDS OF THE CHURCH)
Children’s Ministry Team
Application for Children’s Ministry Team
This form is used to assess a candidate’s suitability to join the NAME OF KIDS DEPARTMENT team and to gain valuable information in caring for the person.
This Application is to be completed by all applicants for any position involving the supervision of children at, or affiliated with, any activity associated with NAME OF KIDS DEPARTMENT. The purpose of this form is to assist the NAME OF CHURCH in providing a safe and secure environment for children who participate in our programs and who receive our care.
_________________________________________ Postcode: ________________________
Telephone: Home: ____________________ Work: _________________________________
Mobile: ___________________ E-mail: ________________________________
Marital Status: ________________________ Date of Birth:______________________
Years at NAME OF CHURCH:- _____________
Which meetings do you regularly attend:_________________________________________
Have you been born again? YES/NO Where:______________ When: ______
Have you been baptised by full immersion? YES/NO Where: ______________ When: ______
Have you been baptised in the Holy Spirit? YES/NO Where: ______________ When: ______
Have you been involved in Children’s Ministry before? YES/NO
If yes, indicate in what areas and churches:_______________________________________
Please list any training that you have undertaken that would prepare you for Children’s Ministry:
List any talents you may have that would help in your work with children (e.g. singing, drama, puppetry, musical Etc.):__________________________________________
Are you willing to attend training courses, planning meetings and seminars relevant to the children’s ministry? YES/NO
Are you prepared to undergo an 8-week trial period with no guarantee of further involvement? YES/NO
Are you prepared to submit to the Leadership of NAME OF KIDS DEPARTMENT, fulfilling the requirements? YES/NO
Please indicate if you have any health problems or disabilities that may affect your work with children?
Do you smoke? YES/NO Do you drink Alcohol? YES/NO
If yes, please specify setting & frequency:________________________________________
If under 18: Is your family in agreement with your involvement in the Children’s
Ministry Team? YES/NO
Do you have your own transport? YES/NO
Please briefly state why and in which area you want to be involved in Children’s Ministry.
Please list the names of any other Churches you have regularly attended over the last 5 years. ____________________________________________________________________
Please list the names and phone numbers of 2 referees from the above Churches.
Please list the names and numbers of 2 referees within this Church (not related to yourself)
DOCTRINE & POLICIES:
Please read the NAME OF KIDS DEPARTMENT policy manual which outlines our policies.
Do you have senior first aid? Y/ N If yes, date of issue___________________
Have you completed any Child Safe Environments Training? Y/ N If yes, date__________
Thank you for completing the application form with integrity
I ______________________________________ declare that I have not been convicted of any criminal offenses in relation to the physical or sexual abuse of children. I agree that my Pastor may make enquiries to confirm police records and that he may contact referees to establish suitability for leadership in regards to ministry with children. Should I be successful in my application, I pledge NAME OF CHURCH to refrain from scriptural conduct in the performance of my services on behalf of NAME OF CHURCH.
Signature: ___________________________ Date: _____________________
(If under 18, please have parent/guardian counter-sign this application)
OFFICE USE ONLY:
CHILDREN’S PASTOR ENDORSEMENT/REFERRAL
Signature: __________________________ Date: _____________________
EXECUTIVE TEAM ENDORSEMENT
Signature: ________________________ Date: _____________________
Checklist for NAME OF KIDS DEPARTMENT Leader:
□ Pastoral Reference
□ Meet with person/ go through application
□ Go through policy manual/ they keep copy
□ They sign Team Member agreement
□ They sign Children’s and youth Volunteers Code of Conduct
□ Ring Referees
□ Police Clearance received (they start once received)/ add to spreadsheet
□ Name badge
□ Add to applicable database group
□ Eldership Team sign application form
□ File Form
NAME OF KIDS DEPARTMENT
Team Member Induction Checklist
□ I have received a copy of NAME OF KIDS DEPARTMENT policy Manual and agree to abide by NAME OF KIDS DEPARTMENT policies at all times.
□ I am aware to never be alone with a child.
□ I am aware of the toileting procedure/ policy/ no nappy changing
□ I have been shown where the First Aid Kits are kept.
□ I have been shown the Evacuation and Invacuation procedures.
□ I have been given my contact person’s name and details.
□ I have read and signed ‘Children and Youth Code of Conduct’.
□ I have been shown around the facility and where things are located (eg. Toilets)
□ I am aware I need to wear my NAME OF KIDS DEPARTMENT name tag when on.
□ I am aware if I’m unable to make a rostered shift, I need to do my best to find a replacement.
□ In the event a child needs their parent during a program, I have been made aware of the procedure.
□ I have been shown the child/ parent pick up procedure, which is for the safety of the child.
□ I am aware of Medical/ Allergy alert information (eg. Name Badge/ Action plans).
□ I have been made aware of the Media Policy.
□ Visiting Children – if they ask for their parent, it is our policy to call their parents as they don’t know us and we don’t know them and we want their experience with us to be a memorable one.
□ I agree to update my National Police Clearance every 3 years
Signed (team member) :¬¬_______________________________Date:_____________
Campus Children’s Pastor Sign:________________________ Date:______________
NAME OF KIDS DEPARTMENT seeks to protect the privacy and confidentiality of individuals by ensuring no confidential information is given out.
Confidential information means all information gathered and held by NAME OF KIDS DEPARTMENT that is not available to the general public. This includes, but is not limited to:
Personal details (name, address, date of birth, phone number)
Obligations of the NAME OF KIDS DEPARTMENT team:
Keep all confidential information private
No team members are allowed to give out information on matters relating to children to anyone other than the custodial parent/ joint guardian or guardian.
Not divulge or disclose any confidential information to anyone
Not copy or reproduce confidential information in any way without the prior consent of NAME OF KIDS DEPARTMENT.
□ I agree to the above conditions
Witness name printed and signed_____________________________________________