Volunteer Child/Youth Leaders Application & Registration Form

Volunteer Child/Youth Leader's Application & Registration Form

Thank you for your interest in serving as a volunteer child/youth leader at Generocity Church. Please complete this form in addition to the general "Volunteer Worker's Application & Registration Form."

Personal Information:

• Full Name: ______________________________

• Date of Birth: ____/____/____

• Are you over 18 years of age? □ Yes □ No

Previous Experience:

• Have you worked in a Child/Youth ministry position previously? □ Yes □ No
  If yes, where? ______________________________

• Referee from previous Child/Youth Ministry position:

• Name: __________________

• Contact Number: __________________

Qualifications:

• Please provide details of any professional qualifications related to working with children or youth:

Declarations:

• Have you ever been convicted of child abuse or neglect? □ Yes □ No

• Have any allegations or complaints involving misconduct with children ever been made against you? □ Yes □ No

• Is there anything in your past that would call into question your suitability to be entrusted with the care of children or youth? □ Yes □ No

If yes to any of the above, please provide details:

I hereby declare that:

1. The information provided is true and correct to the best of my knowledge.

2. I have never been convicted of any criminal offenses related to the physical or sexual abuse of children.

3. I agree that Generocity Church may conduct a police check and contact my referees.

4. I have read and agree to the Volunteer Code of Conduct

Signature: __________________________

Name: __________________________

Date: ____/____/____