Form Entry

Thank you for your interest in serving in Crossover Student Ministries. At Crossover we seek to enable students to experience biblical community that will grow them as disciples of Jesus Christ. We desire our leaders to uphold this biblical community, by partnering with parents in the discipleship of our students. Please complete the following form if you are interested in volunteering in Student Ministry which includes Grades 5 through 12.

First Name

Last Name

Mobile Phone

Birthdate

/ /

Gender

Male Female

Occupation

Student Volunteer Questions

Why do you want to serve in Student Ministries?

Is there a particular area that you are interested in?

G56 Leader Life Group Leader Sunday Morning Leader Oikos Event Team Hospitality Team

List your experience(s) working with children or teenagers:

Testimony Questions

What was life like before your relationship with Christ?

How did you come to have a relationship with Christ?

What does your relationship and life with Christ look like today?

Legal Questions

Have you ever been charged with a sexual offense, offense relating to children, or crime of violence?

Have you ever been reported to any organization or registry for abuse or misconduct involving children?

Have you ever been disciplined or dismissed from any volunteer or employment position for any reason or following an allegation of sexual misconduct, physical aggression, verbal aggression, or other inappropriate behavior or conduct?

Do you have any contagious disease, health issue, or history of emotional illness that would currently place children, other workers or yourself at risk?

Have you ever sought out or intentionally viewed child pornography?

Background checks are required for all LEFC volunteers. Do you have any reason to believe that such background check would disclose any information that would suggest that you should not sere in Crossover Student Ministries?

Is there anything else from your past that we should know about?

Reference 1

Reference Contact 1 Name

Reference 1 Email

Reference 1 Phone

Reference 2

Reference Contact 2 Name

Reference 2 Email

Reference 2 Phone

Reference 3

Reference Contact 3 Name

Reference 3 Email

Reference 3 Phone

By submitting this application I am stating that all my answers are true and accurate.