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Young Adults Application

Young Adults Application

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Young Adults Leader Application

Adult (ages 18 & up)

First Name

First Name is required.

Last Name

Last Name is required.

Email address is not valid

Email is required.

Phone

Phone is required.

Birth Date

/ / Birth Date cannot be a future date.

Personal Situations

The questions listed below are part of our interview process in order to help provide a safe and secure environment for our church. All information is held strictly confidential. Answering yes to any of these questions may not necessarily preclude your involvement on a volunteer team, but certain convictions disqualify you from serving in certain ministries. Thank you for your understanding.

Have you ever been convicted of a criminal offense excluding minor traffic violations?

Yes No

Have you ever been convicted of a criminal offense excluding minor traffic violations? is required.

Have you ever been discharged from employment/volunteer position because of activity endangering children or teens?

Yes No

Have you ever been discharged from employment/volunteer position because of activity endangering children or teens? is required.

Have you ever been asked to step down from a volunteer or employment position in general?

Yes No

Have you ever been asked to step down from a volunteer or employment position in general? is required.

How long have you been attending SouthBrook?

How long have you been attending SouthBrook? is required.

What areas of serving interest you?

Small Group Leader Hosting Tech Welcome Crew

Please provide a photo to be used for your headshot. For best results, please use a photo with a white or neutral background.

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Please read this YA Leader Guide

Application Statement

I hereby authorize SouthBrook to verify all information contained in this application. Should my application be accepted, I agree to follow the policies and practices of SouthBrook when representing SouthBrook as a volunteer. I understand that this personal information will be held confidential by SouthBrook.

I have read and agree to the Applicant Statement. In order to ensure the safety of our kids, families and volunteers, SouthBrook runs a basic background check for every prospective volunteer. You'll be receiving an email from our partner, Safe Ministries, to complete this process. Questions? Feel free to email the team at olivia.albrecht@southbrook.org.

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9095 Washington Church Rd Miamisburg, OH 45342-4428