Serve With Us! // CF Family Ministries

Family Ministries Volunteer Form

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Married(Required)

Yes

Spouse's Name:(Required)

When did you accept Jesus as your Lord and Savior?(Required)

Have you been baptized? If so, when?(Required)

Briefly describe your relationship with Jesus Christ.(Required)

Have you attended Intro to CF?(Required)

Yes

Are you a member of Christ Fellowship(Required)

Yes

In Process

How long have you attended Christ Fellowship?(Required)

Which area of Student Ministry are you interested in serving?(Required)

Nursery

Toddlers

Pre-K

Elementary (K-5th Grade)

CF Students (6th-12th Grade)

What position are you interested in?(Required)

Small Group Leader

Small Group Assistant

Storyteller/Host/Teacher

Worship Team

Media Team

Why do you want to serve in Student Ministry?(Required)

List any relevant training, experience or spiritual gifts that have equipped you to serve in Student Ministry.(Required)

Church Activity

Please list the church or churches you have attended in the past five years.

Church Name:(Required)

Pastor's Name:(Required)

Years attended:(Required)

Did you serve there?(Required)

Yes

In what capacity?(Required)

Church Name:

Pastor's Name:

Years attended:

Did you serve there?

Yes

In what capacity?

Church Name:

Pastor's Name:

Years attended:

Did you serve there?

Yes

In what capacity?

Background Information

We value your interest in serving in Family Ministry. We consider serving with children a place of leadership in the church because of the tremendous influence volunteers have. Because of this, we ask individuals desiring to serve with children to meet specific qualifications. There is a place for everyone to serve at Christ Fellowship; however, if you participate in any of the following lifestyles, we ask that you talk to a staff member before applying to volunteer in Family Ministries.

Are you living with a person you are in a romantic relationship with(Required)

Yes

Are you pursuing an affair outside of marriage?(Required)

Yes

Are you participating in a same-sex relationship?(Required)

Yes

Are you going through a season of marital strife, divorce, or family conflict?(Required)

Yes

Are you currently or have a history of engaging in illegal drugs, marijuana, or pornography?(Required)

Yes

Are you currently or have a history of using alcohol or other legal substances excessively?(Required)

Yes

Have you ever been accused or convicted of domestic violence, achild abuse, child molestation, or any othe sexual abuse?(Required)

Yes

If you answered YES to any of the above questions, do you wish to speak with a staff member?

Yes

Phone

Preferred method of contact:

Phone

Either

Personal References

Please list the names and contact information of two independent references who are not related to you. (Past ministry leaders or former employees preferred.)

Name(Required)

First Last

Phone(Required)

Email(Required)

Name(Required)

First Last

Phone(Required)

Email(Required)

Signature(Required)

Date(Required)

PREVENTION PRACTICES & PROCEDURES TO PROTECT CHILDREN & YOUTH(Required)

I acknowledge that I have received, understand and agree to follow the Policy & Procedures for the Prevention of Sexual Misconduct of Christ Fellowship in Kingsport, TN.

PREVENTION PRACTICES & PROCEDURES TO PROTECT CHILDREN & YOUTH
These Prevention Practices & Procedures of Christ Fellowship deal with the prevention of sexual
misconduct as well as some general safety concerns. These Prevention Practices & Procedures
shall be given to each employee and to all volunteers who supervise activities for children and youth
as a part of the Policy & Procedures for the Prevention of Sexual Misconduct of Christ Fellowship.
(For the purpose of these Prevention Practices, “adult” means someone 18 years of age or older.
Anyone below 18 years of age is considered a child or youth.)
All those working with children/youth are subject to background screenings and other screening
procedures including a check for a previous record of Driving While Intoxicated or any reckless
citation.
o At least two adults will be present during all child/youth activities.
Travel off church premises:
o At least two screened and unrelated adults must be present at every function and in each
classroom, vehicle, or other enclosed area during all activities involving children, youth or
vulnerable adults.
Exception: When the Two Adult Rule cannot be supported the Rule of Three should be
applied. The goal being that no one adult should ever be alone with one child or youth. At
least three individuals defined as: one screened adult and two youth.
o Permission slips with details are required for all trips off church premises.
o When a church program or activity calls for someone to drive children/youth anywhere, be
sure to have on file a form which records important information about the vehicle operator
and the vehicle to be used. Fill out the form copy of the driver’s license and the Proof of
Insurance.
Pick up after youth events:
o If children/youth are to be picked up by someone other than a parent or known babysitter or
dropped off somewhere other than his or her home, the parent(s) or guardian should indicate
that person’s name and phone number. Children/youth will be released to properly identified
and authorized adults only.
o An adult leader should stay with children/youth at the conclusion of an activity until every
child/youth has been picked up. Never leave a child/youth alone waiting for a ride home.
Overnight events:
o Parents and/or staff must approve overnight stays in advance.
o For overnights (lock-ins, camp, etc.) always have at least 4 adults present (and more if the
size of the group requires), including 2 males and 2 females.
o Make parents/guardians and children/youth aware of the ground rules which will govern all
such overnight events. Be clear about specifying the consequences of any infraction.
o For overnights, whether on church property or elsewhere, be sure that separate sleeping
areas are provided for boys and girls and that privacy is assured for use of bathroom
facilities and for changing clothes.

o If a child/youth needs to undress (for example, to get into a costume or for first aid), do call
another adult to accompany you. Be sure that separate dressing areas are provided for boys
and girls and that privacy is assured.
o We have an “open door policy” that is, church staff and adult youth leaders always have the
right to visit and observe a class or program at any time unannounced. Classroom doors
should never be locked with children inside. If the door is locked, the half-door should be left
open. Where feasible, put glass in the doors so someone can always see in the classroom.
o Even playfully, even if a child or youth asks, do not touch any part of the body that would be
covered by a modest swimsuit, nor on the clothing, which covers those parts.
o Never meet a child/youth in secret or in an unplanned way without discussing the meeting
with parents and/or appropriate supervising people. Also, do not become involved in secret
“meetings” with a child/youth by computer instant messaging, e-mail or in a chat room.
o It is unwise to be alone (and out of sight of anyone else) with a child/youth. If that seems
necessary, ask another adult to stand by or alert your supervisor that the private conference
took place.
o If you have an encounter with a child/youth where you think there might be a possibility of
misunderstanding or misinterpreting your behavior, alert the Executive Pastor. Document
with a dated memo. Where possible, discuss the matter with the child’s parent or guardian.
o Use caution about any movies or videotapes, which might raise concerns. Offer to show
them to parents first (even if parents do not take up your offer). Videos should be age
appropriate; the supervisor must clear anything over a PG rating.
o Use caution about choosing video games for students. Only allow access to E or T games.
Under no circumstance should M games be played.
o Never show youth any material that displays nudity or could by any standard be called
obscene or pornographic. If a youth or anyone brings such material, confiscate it at once and
consult with supervisor/staff.
o Alcoholic beverages, illegal drugs, or tobacco products are never permitted to be brought to
or consumed during any church-related activity for children/youth.
o If a child/youth comes to any church program and appears intoxicated (from either drugs or
alcohol), contact parents immediately and consult with the Executive Pastor or other
authority for further action.

Acknowledgement of Sexual Misconduct Policy
Sexual misconduct is strictly prohibited and will be cause for termination of the employee or
volunteer of Christ Fellowship who is guilty of such misconduct. Sexual misconduct includes any
form of sexually inappropriate behavior or contact, whether criminal or not, by employees or
representatives of the Church, whether staff or volunteer, whether paid or unpaid, and without regard
to particular titles of positions.
Anyone who knows or suspects sexual misconduct shall immediately report the incident or suspicion
to the Lead Pastor or Executive Pastor. If the misconduct involves sexual offense or abuse against a
child, it should be reported also to the local law enforcement authorities in conformity with applicable
laws.

Christ Fellowship strictly prohibits interaction with children and youth by anyone with a civil or
criminal record of sexual offense against a child or anyone who has admitted to committing prior
sexual abuse.
Anyone who knows of or suspects sexual offense or abuse against a child shall immediately report
the incident or suspicion to the Lead Pastor or Executive Pastor. The suspected offense or abuse
should be reported also to the local law enforcement authorities in conformity with applicable laws.

Signature(Required)

Date(Required)

Signature(Required)

Date(Required)

Serve With Us! // CF Family Ministries

Family Ministries Volunteer Form

Church Activity

Background Information

Personal References

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