Kids Introducing children to the love and excitement of knowing Jesus. Volunteer Application Step 1 of 5 20% Qualifications: 1. Be in agreement with the tenets of faith of LCIC. 2. Be a member of LCIC, or be in a membership process. 3. Be able to make a minimum 6 month commitment. 4. Complete the Children’s Ministry Worker Application. 5. Be loyal to the pastor and leaders of LCIC. 6. Be faithful to your assigned position. 7. Report needs/problems to your department director. Do not complain to coworkers. 8. Live a consecrated Christian life (be a doer of the Word). 9. Attend all workers’ meetings and workshops. 10. Attend one complete service in the adult church per week. 11. Give at least three days’ notice if you know you will be absent. 12. Be at your designated post 30 minutes before starting time. 13. Be neat in your appearance. 14. Complete appropriate workers’ training course. 15. Give sixty days notice when resigning a position. Please read and sign: I have read the above qualifications and pledge to keep them to the very best of my ability. I clearly understand that failure to keep any of the above qualifications is grounds for dismissal.Signature* Agree* I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. Confidential Children’s Ministry Worker Application This application is to be completed by all applicants for any position involving the supervision or custody of minors. It is used to help the church provide a safe and secure environment for those children who participate in our programs and use our facilities.Name* First Last Date* MM slash DD slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Day Phone*Evening PhoneGender* Male Female Email* Date of Birth* MM slash DD slash YYYY Number of Children*Marital Status*SingleMarriedSeparatedDivorcedMaiden Name Spouse Name Anniversary Date MM slash DD slash YYYY Will your spouse be involved in the children's ministry? Yes No Alias (other names you go by) Present Employer May we call you at work? Yes No Have you completed your membership course? Yes No How long have you attended LCIC?* Have you been born again? Yes No Do you tithe on a regular basis to LCIC? Yes No Why do you want to be involved in Children's Ministry?*Parent in Partnership Program Jump into Kids Town by serving just once a month! Explore your inner child. Share in your child's worship experience while making an eternal impact on the heart of kids in Kids Town! Do you believe in the virgin birth and the deity of our Lord Jesus Christ? Yes No Do you believe that Jesus is God’s Son and the only sacrifice for sin? Yes No Do you believe that man must be born again to receive eternal life? Yes No Do you believe in the infallibility of scripture? Yes No Do you believe that divine healing is part of the redemption’s purchase and is God’s will for all who believe? Yes No Do you believe in the baptism of the Holy Spirit? Yes No Do you believe speaking in tongues is the initial physical evidence of the Baptism in the Holy Spirit? Yes No List any other churches that you have attended regularly in the past five years?List any gifts, callings, training, education, or other factors that have prepared you for Children’s Ministry.Have you ever been involved in children’s ministry before?* Yes No If so, where?Are you currently involved in any other ministries?* Yes No If so, please list all ministries hereDo you have any physical handicaps or conditions preventing you from performing certain types of activities relating to children’s work?* Yes No If so, please briefly describeHave you ever been accused of and/or convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor? Yes No What age group do you prefer to work with? Nursery (0-3 years) Preschool (4-5 years) Elementary (6-12 years) Exceptional Kids What services do you normally attend?* Hoffman Sunday 9am Hoffman Sunday 10:30am Hoffman Wednesday 7pm Chicago 9am Chicago Noon What services would you be able to work in?* Hoffman Sunday 9am Hoffman Sunday 10:30am Hoffman Wednesday 7pm Chicago Sunday 9am Chicago Sunday Noon Life Changers International Church Authorization for Release of Information I hereby give my permission to Life Changers International Church to obtain information relating to my criminal history records through the Track-1 Technology Inc; as well as reviewing my personal references and other public records pertaining to me. The criminal history record, as received from the reporting agencies, may include arrest and conviction data as well as plea bargains and deferred adjudication. I understand that this information will be used in part, to determine my eligibility for an employment/volunteer position with this organization. I also understand that as long as I remain an employee or volunteer here, the criminal history records check may be repeated at any time. I understand that I will have an opportunity to review the criminal history and a procedure is available for clarification, if I dispute the record as received. I, the undersigned, do for myself, my heirs, executors and administrators, hereby remise, release and forever discharge and agree to indemnify and hold Life Changers International Church and the Track-1 Technology Inc, and each of their officers, directors, employees and agents harmless from and against any and related attorney’s fees, court costs and other expenses, resulting from the investigation of my background in connection with my application to become a volunteer/staff member. I authorize without reservation, and person agency, or other entity contacted by Life Changers International Church, or Track-1 Technology Inc, their agent, for purposes of obtaining background information, to furnish the above mentioned information.Date of Birth* MM slash DD slash YYYY Social Security Number* Signature* Agree* I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. Δ
