DRT

Work Entry

DRT Adult Volunteer Forms

Adult (ages 18 & up)

First Name

Last Name

Phone

Birth Date

Gender

Street 1

Street 2

City

State

Postal Code

If married, spouse name

Emergency contact full name

Emergency contact phone number

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 our children & student ministries. Please refer to the regulations on the attached document. Thank you for your understanding.

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

Yes No

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

Yes No

SouthBrook strives to follow biblical guidelines for Godly relationships and behaviors. Are there any circumstances involving your lifestyle or your current situation that we should be made aware of?

Yes No

If you answered yes to any of the above questions, please explain.

Background Information

How long have you been attending SouthBrook?

In what areas of church ministry are you currently involved?

Describe your relationship with Jesus Christ:

If known, what are your spiritual gifts?

Please describe previous leadership/volunteer experience (list places and experiences):

References

List two adults you have known for at least one year, who are NOT RELATED to you and have a definite knowledge of your character and ability.

Reference 1 Name

Reference 1 Relationship

Reference 1 Email

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

Submit Cancel