Volunteer Application Form

Volunteer Information Form

(All information is confidential)
Date *

Month Day Year
Date
PERSONAL INFORMATION
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date
Age *

18-29 30-59 60-89 90+
Gender *

Male Female
Occupation *
CONTACT INFORMATION
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail
Home Phone Number

Area Code Phone Number
Work Phone Number

Area Code Phone Number
Mobile Phone Number

Area Code Phone Number
GENERAL INFORMATION
Are you a volunteer at other agencies? If yes, which agency?
Are you a member of a Church? If so, which Church?
What skills/gifts do you possess?

Administration Music Teaching Food Prep Computer/Web Design
Other skills
Do you have any of the following ministry interests? Please select all that apply

Registration Administration Volunteer Assimilation Ministering of Prayer Date Food: Procurement/Collection Food Box: Preparation/Dispensing Evening Meals: Preparation/Serving Clothing Disposition/Dispensing Communication Administration Transportation: Maintenance Transportation: Van Drivers* (background check required) Facility Maintenance Activities/Events Team Children’s Programs Team* (background check required) Medical Music Ministry Mentoring Center* (background check required) Teaching/ Training (Worship/Bible Study)
Other ministry interests
How did you find out about Christ Central Ministries? *
EMERGENCY CONTACT PERSONS

Please provide two emergency contacts including phone number and address
Name (1) *

First Name Last Name
Phone Number (1)

Area Code Phone Number
Address (1) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Name (2) *

First Name Last Name
Phone Number (2)

Area Code Phone Number
Address (2) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
MEDICAL INFORMATION
Do you have any allergies or medical conditions we should know about? If so, please explain:
Primary Physician
Physician's Phone Number

Area Code Phone Number
Hospital Preference
PERSONAL REFERENCES

Please list three references and phone numbers
Reference (1) *

First Name Last Name
Phone Number (1) *

Area Code Phone Number
Reference (2) *

First Name Last Name
Phone Number (2) *

Area Code Phone Number
Reference (3) (other than family) *

First Name Last Name
Phone Number (3) *

Area Code Phone Number
I agree to allow Christ Central to contact the references listed above.
Full Name *
Date *

Month Day Year
Date
STATEMENT OF FAITH
The Christ Central Ministries Statement of Faith and Principles is a broad evangelical declaration that closely parallels the content of the Gospel presentation and the concepts considered vital for the furthering of this ministry. All persons seeking to serve in a leadership, ministry or teaching role in this ministry are required to concur with this statement. It is the intent and desire of this ministry to display respect for all denominations and to allow for freedom of conviction on doctrinal interpretations, provided that any interpretations is based upon the Bible alone, and that no such interpretation shall become an issue which hinders the ministry to which God has called each of us to do.
1. We believe that there is only one God, eternally existent in three persons: Father, Son and Holy Spirit. (Genesis 1:1, John 10:30, 37 & 38)
2. We believe the Bible is the inspired, infallible, inerrant, and authoritative Word of God. (II Timothy 3:16, II Peter 1:21)
3. We believe in the deity of Christ, His virgin birth, His sinless life, His atoning death through His shed blood on the cross, His bodily resurrection, His ascension to the right hand of the Father, and His personal return in power and glory. (Luke 23:44-46, 24:5 & 6; John 5:28 & 29)
4. We believe that through the crucifixion, death, and resurrection of Jesus Christ alone, every power and penalty can be removed that would keep us from communion with God and glorification in heaven. This is salvation. (John 3:16-19 & 5:24, Romans 3:19 & 23)
5. We believe that God is indwelling today, being worthy of worship alone, having created all things from nothing, visible and invisible, through and for His sovereign plan. (Genesis 1:26-28, 5:1 & 2)
6. We believe in the resurrection of both the saved and the lost; they that are saved unto the resurrection of life and they that are lost unto the resurrection of eternal separation from God. (Matthew 13:30, 40-43; 25:46; John 5:29; 2 Corinthians 5:10)
7. We believe in the spiritual unity of believers in our Lord Jesus Christ. This is the fellowship of God’s Church and Body of Christ. (Romans 8:9; 1 Corinthians 12:12 & 13; Galatians 3:26-28)
8. We believe children are a gift from God and it is our responsibility to teach them scriptural principles, godly character and biblical convictions, bringing them up in the discipline and instruction of the Lord. (Deuteronomy 6:5-9; 11:18-21; Psalm 27:3-5; Proverbs 22:6 & 23:13 & 14)
9. We believe that the primary evidence of one “in Christ” is revealed in their love for God and their love for others (John 13:34-35)
10. We believe that a person “in Christ” must respond to the leading of the Spirit of God to minister hope and help to the poorest of the poor of all nations. (Philippians 2:1-4; I Corinthians 13)
11. We believe in the present ministry of the Holy Spirit, by whose indwelling enables the Christian to live a godly life. (John 4:16-18; 16:13-15; Romans 8:26-27; Philippians 1:6)
I agree with this Statement of Faith
Full Name *
Date *

Month Day Year
Date
PERMISSION TO OBTAIN A BACKGROUND CHECK
(This form authorizes Christ Central to obtain background information and must be completed by the applicant. Christ Central must keep this completed form on file for at least two years after requesting a background check.)

I, the undersigned applicant (also known as “consumer”), authorize Christ Central Ministries to procure background information (also known as “consumer report and/or investigative consumer report”) about me.

This report may include my driving history, including any traffic citations; a social security number verification; present and former addresses; criminal and civil history/records; and the state sex offender records.

I understand that I am entitled to a complete copy of any background information report of which I am the subject upon my request to Christ Central Ministries, if such is made within a reasonable time from the date it was produced. I also understand that I may receive a written summary of my rights under the Fair Credit Reporting Act.
Name *
Date *

Month Day Year
Date
Note: Completed Background Check will be kept in complete confidentiality by the Director of Christ Central Ministries.
IDENTIFYING INFORMATION FOR BACKGROUND INFORMATION AGENCY (also known as "Consumer Reporting Agency")
Name *

First Name Last Name
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Former Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Social Security Number *
Daytime Telephone Number *
Driver's License Number *
State of Issuance *
Date *

Month Day Year
Date
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Volunteer Information Form