Full Legal Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone *

(###)

###

####

Is texting available on your cell phone? *

Yes

No

I would like to be involved in: *

Services & Times (check all that apply)

11am Sunday Morning Worship

7pm Wednesday Evening Worship

Special Events

I would like to be involved in: *

Kids Ministry Area (check all that apply)

Nursery (ages 0-1)

Toddlers (ages 1-3)

Preschool (ages 3-5)

Elementary (ages 6-12)

Have you had experience with any of the following: *

(check all that apply)

Balloon Animals

Clowning

Crafts

Drama

Lesson Planning

Music

Puppets

Teaching

Other (please explain below)

Have you at any time been accused, rightly or wrongly, of child abuse, sexual molestation, or neglect? *

Yes (please explain below)

No

Have you been arrested or convicted for anything more serious than a traffic violation? *

Yes (please explain below)

No

Have you ever been treated for any mental illness or disorder? *

Yes (please explain below)

No

Have you gone through any treatment for drug and/or alcohol abuse? *

Yes (please explain below)

No

Are you currently taking any illegal drugs? *

Yes (please explain below)

No

Personal Reference #1 *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Personal Reference #2 *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Personal Reference #3 *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

I am willing to be trained, supervised, and reviewed by the Christian Education Director of Maranatha. I understand that I will be considered important as a volunteer and will be expected to assume responsibilities as directed by the Christian Education Director, including attendance at training sessions when needed. I accept this as a commitment to Christ and His Church. I also give my authorization to Maranatha Full Gospel Fellowship and its representatives to verify the information on this form. I verify that the information on this volunteer application is true and correct to the best of my knowledge. *

Date *

MM

DD

YYYY