Volunteer Application for CVKids & Nursery

Please fill out this form and click submit.

Personal Information

Full Name

Date of Birth

Address

Phone

This address will receive a confirmation email

Church Involvement

How long have you been coming to Central Vineyard?

Are you currently part of a Central Community?

Please select one option.

Yes No

Areas you are interested in serving:

Please select all that apply.

Nursery CVKids Youth Other

References

Please list two references (not relatives) who know you well. Include Name, Relationship to you, and phone/email:

Reference 1

Reference 2

Screening Questions

Please answer all questions truthfully. A “yes” answer will not automatically disqualify you, but failure to disclose will.

Have you ever participated in, been accused of, been convicted of, or pleaded guilty or no contest to any form of abuse or sexual misconduct (against a child or adult)?

Please select one option.

Yes No

If yes, please explain.

Have you ever been investigated for inappropriate conduct with a minor?

Please select one option.

Yes No

If yes, please explain.

Do you have any criminal convictions, pleas, or pending charges (other than minor traffic violations)?

Please select one option.

Yes No

If yes, please explain.

Is there any circumstance that would lead a reasonable person to question whether you should work with children or youth?

Please select one option.

Yes No

If yes, please explain.

Applicant Statement & Authorization

By typing my name below, I affirm that the information I have provided is true and complete. I understand that:

A criminal background check (including state, national, and sex offender databases) will be conducted.

I must complete required child safety training before serving.

I am expected to follow the Child and Youth Safety Policy and Code of Conduct of Central Vineyard.

Any false or misleading information may result in denial or termination of my volunteer service.

Signature:

Date:

Description

Please fill out this form and click submit.

Volunteer Application for CVKids & Nursery

Description

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