NextGen Application

Ministry Area*

WeeWorld (6 Weeks - PreK)Kid Kraze (K - 3rd)Forty5 (4th - 5th)Students (6th - 12th)

Campus*

Name*

First NameLast Name

Alias / Former / Maiden Name*

Date of Birth*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Home Phone Number

Area CodePhone Number

Mobile Phone Number*

Area CodePhone Number

Marital Status*

Gender*

Occupation*

Place of employment*

How long have you attended Waters Edge Church?*

Name of Former Church

If you have accepted Jesus Christ as your personal Savior, briefly describe when and how it took place.*

Before coming to Waters Edge, what was your previous church experience, if any?*

Please list your areas of volunteer experience.*

Please list any current areas you are volunteering in at Waters Edge Church.*

Have you ever been accused of any inappropriate behavior with a minor?*

YesNo

Have you ever been convicted of or plead guilty to a crime?*

YesNo

Have you ever been a victim of abuse or molestation?*

YesNo

Are there any issues in your personal life currently or in the past that we need to be aware of as we consider your involvement with kids, or students?*

YesNo

REFERENCES - For applicants under age 18, please list two adults (not relatives) who know you well whom the church may contact. (Please included at least one person from Waters Edge Church.)*

Name, Address, Phone & Email for each

I give Waters Edge Church the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability Waters Edge Church and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.*