EmailMe Form - ADULT YOUTH LEADER APPLICATION

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Primary Phone *

### - ### - ####

Home Phone

### - ### - ####

Birthday *

MM / DD / YYYY

Employer/position

If attending school - name of school

Year in school

How long have you been attending Covenant? *

In the interest of time, please keep all answers brief.

BACKGROUND INFORMATION

Who is Jesus Christ to you? *

Why is the Church important? *

How is a person reconciled to God? *

List any hesitations you might have concerning leadership. *

What would you hope to learn or gain from this experience? *

What is your definition of a servant? *

List the other activities you are committed to and the approximate hours per week they will require. *

Briefly describe your church background. *

In what ways have you enjoyed serving within the Church? *

Are you currently a member of a church? If so, where? (If not at CPC, please give a contact name and phone number of someone at your church.) *

How long have you been attending Covenant? *

MINISTRY AND LEADERSHIP EXPERIENCE

Describe the ministry experiences you've had in the last 5 years. *

Describe your recent involvement with fellowships, churches, ministries, and Bible studies. *

What would you consider to be some of your strengths and weaknesses? *

Describe a situation or organization in which you have taken leadership. *

Why do you desire to serve as a Youth Group Leader with the Covenant Youth Ministry? *

Have you ever led a small group Bible study? Would you be open to leading one? *

Would you be more interested in helping with the middle school or high school students? Why? *

PERSONAL TESTIMONY

Please give a brief biographical sketch which should include (1) a testimony of how you came to know Jesus Christ as your Savior, and (2) any significant stages in your spiritual growth and maturity. *

LIFESTYLE

Describe your habits of personal discipline (physical, spiritual, timeliness, etc.) *

State your position on the following: Alcohol *

Dating *

Tobacco *

Illegal Drugs *

Premarital Sex *

Homosexuality *

Abortion *

Is there currently any sin in your life that you are not actively confessing and repenting of? *

Working with Youth Ministry often involves transporting youth. Have you received a ticket(s) for any moving violations? If yes, please list and explain. *

Additional Comments:

CHILD PROTECTION

Covenant Presbyterian Church requires anyone who works with children (17 years of age and younger) to be Child Protection Approved. If you are unsure if you are Child Protection Approved, please contact Rebecca Griffin.

If you are NOT Child Protection Approved please complete the following:

All applicants: Please provide two, NON-RELATED references who are 18 years or older, and can attest to your character. After submitting this form please return to the church website and go to the Children's Ministries Child Protection page. Under Youth Ministries click on "Personal References" and complete the form. Or click the link below. It will open in a new tab.

Age 18 or older: After submitting this form please return to the church website and go to the Children's Ministries Child Protection page. Under Youth Ministries click on "Background Check" and "Disclosure Statement" and complete the forms. Or click the links below. The forms will open in a new tab.

REFERENCES

DISCLOSURE STATEMENT

BACKGROUND CHECK CONSENT FORM

SIGNATURE

All information on this application is confidential and will be used solely by the CPC staff for evaluation purposes only.

I have read and agree to all Child Protection Policies (Child Protection Policies are on the Children's Ministry/Child Protection webpage). I am giving my authorization to Covenant Presbyterian Church to verify the information on this form and to contact my references.

Name *

Signature *

Clear

Date *

MM / DD / YYYY