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Youth Volunteer Application Form
(12- 18 years of age)
Please fill out the form below to apply for volunteering at our church. Thank you!
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
Birth date
*
Gender
*
Male
Female
Please provide your socical security number for background check
*
Parents Names:
*
How long have you attended Plymouth Alliance Church?
*
Where did you previously attend before Plymouth Alliance Church?
*
Please list all current and previous church and community volunteer work.
*
Ministry you are applying for (if known):
*
What led you to apply?
*
YOUR PERSONAL RELATIONSHIP WITH JESUS CHRIST
Check one of the boxes below that best describe your relationship with Jesus Christ.
*
I have a relationship & I am assured of my salvation
I think I have a relationship but am unsure of my salvation
I am still seeking a relationship with Jesus Christ.
Other
Spiritual Journey
Your life before Christ.
*
When did you accept the Lord as your personal Savior?
*
How did you come to know Christ?
*
Your life after you received Christ.
*
CONFIDENTIAL SECTION
THE REMAINDER OF THIS APPLICATION IS CONSIDERED STRICTLY CONFIDENTIAL. IT WILL BE VIEWED AND USED ONLY BY THE PLYMOUTH ALLIANCE CHURCH STAFF MEMBERS WHO ARE INVOLVED IN MAKING VOLUNTEER PLACEMENT DECISIONS. ALL COMPLETED MINISTRY APPLICATIONS ARE KEPT CONFIDENTIAL AND STAY IN A PASSWORD PROTECTED AND/OR LOCKED FILE IN THE CHURCH OFFICE AREA. IF YOU PREFER, YOU MAY CHOOSE NOT TO ANSWER THE QUESTIONS IN THIS SECTION OR YOU MAY DISCUSS YOUR ANSWERS IN CONFIDENCE WITH A PLYMOUTH ALLIANCE STAFF MEMBER. LEAVING ANY QUESTIONS UNANSWERED WILL INDICATE THAT A STAFF MEMBER WILL NEED TO CONTACT YOU FOR A FOLLOW UP.
Have you ever been charged, arrested, or convicted of any crime other than minor traffic violations?
*
Yes
No
If you answered "Yes," please explain.
*
Have you ever been accused, investigated, charged, or convicted of child abuse, sexual abuse, or sexual assault?
*
Yes
No
If you answered "Yes," please explain.
*
Have you ever been a victim of abuse (sexual, verbal, or physical)?
*
Yes
No
If you answered "Yes," have you received professional counseling?
*
Yes
NO
How do your parents discipline you?
*
Have you ever participated in any form of pornography (magazines, internet, 900 number, etc)? Know that this qustion is not to judge you, but rather for safety reasons.
*
Yes
No
If you answered Yes, your honest answer is very much appreciated. Please explain to what extent pronography is/has been an issue. Or, if you would rather discuss it with someone in person, please comment below with: "I would like to talk with someone in person about it."
*
Do you have any other history that may be of concern? If so, explain.
*
I am free from any diseases that could be detrimental to children such as typhoid, paratyphoid, hepatitis, or other diseases.
*
Yes
No
REFERENCES
PLEASE LIST 3 REFERENCES WITH CURRENT EMAIL. IF YOUR REFERENCE DOES NOT HAVE EMAIL, THEN PLEASE PROVIDE A COMPLETE ADDRESS.
REFERENCES NEED TO BE FAMILIAR WITH YOUR CHARACTER ESPECIALLY AS IT RELATES TO WORKING WITH CHILDREN.
REFERENCES MAY NOT BE RELATIVES OR PAC STAFF.
Reference 1
*
Reference 2
*
Reference 3
*
STANDARDS AND AGREEMENTS
Please read the attached Standards and Agreements. Then check the appropriate boxes below and electronically sign. When you sign below you are also signing on the following:
I have read, understand and agree to abide by the "Proper Behavior for Children's Ministry Workers" Policy, which refers to working with children and youth under 18 years of age and developmentally disabled persons of any age. Should my application be accepted, I agree to be actively involved in the ministries of this church, abide by the constitution and by-laws and policies of Plymouth Alliance Church and refrain from un-scriptural behavior in my ministry on behalf of the church.
I understand that the information I have provided may be verified, if necessary, by contacting persons or organizations named in this application, or by contacting any person or organization that may have information concerning me. I hereby release and agree to hold harmless, from liability, any person or organization that provides information. I also agree to hold harmless the organization, the officer, employees and volunteers thereof.
I further acknowledge that I have carefully read the foregoing release and know the contents thereof. I sign this release of my own free will. This is a legally binding agreement which I have read ad understand. I promise I have answered all of the questions honestly to the best of my knowledge.
I wish to be held accountable as I serve at Plymouth Alliance Church's Children's Ministries as written in the Standards of Excellence
*
Yes
No
I agree with the Statement of Faith:
*
Yes
No
Electronic Signature
Please review our Statement of Faith.
*
Please type your name and date. This will serve as your electronic signature.
*
Please have your parents sign and date this form so we know they are in agreement with you applying to work at the church.
*
Submit
Home/About Us
About Us
Our Teams
Location & Times
Values & Beliefs
Membership
Safety
Files & Forms
Celebration Videos
Contact Us
>
Let's Connect
Prayer
Sermons
Ministries
Kids Ministry
>
PAC Kids Registration
Parent Resources
PAC Kids Volunteers
Youth Ministry
>
Student Registration
Parent Resources
Student Leadership Team
Youth Sunday
Life 2025
Adult Small Groups
>
Small Group Sign up
Missions
The MOMCO
Opportunities to Serve
Events
General Schedule
Event Calendar
>
Baptism Sunday
Community Connections
Community Partnerships
Parkview School Partnership
Church Plant
Operation Christmas Child
Mustard Seed Gardens
Sport Court
>
Basketball
>
Basketball Clinics
3-on-3 Basketball Tournament
Pickleball
Ice Rink
Pavilion
Community Corner
MyPAC/RightNow Media
Give