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: The information provided is true and correct to the best of my knowledge. I have never been convicted of any criminal offenses related to the physical or sexual abuse of children. I agree that Generocity Church may conduct a police check and contact my referees. I have read and agree to the Volunteer Code of Conduct Signature: __________________________ Name: __________________________ Date: ____/____/____