512-258-9117 info@hopeaustin.org
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Good Shepherd Volunteer Form

Form for adults who wish to work with children or youth at Hope Presbyterian Church

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  • Children's and Youth Ministry Application

    Note: This form is to be completed by all applicants (volunteer and employee) for any position involving supervision or custody of minors. This application is used by HOPE PRESBYTERIAN CHURCH to help promote a safe environment for the children and youth who participate in our programs or use our facilities. Any applicant who has ever been convicted of child sexual abuse, physical abuse, or domestic violence should not volunteer service in any church sponsored activity or program for children or youth. Applicants with criminal records of other types will be evaluated at the discretion of church leaders. Any applicant who is a survivor of childhood sexual or physical abuse needs the love and acceptance of the HOPE PRESBYTERIAN CHURCH family. Applicants who have such a history should discuss their desire to work with youth with the Associate Pastor or Senior Pastor prior to any participation as a youth worker. All applicants must study and agree to obey the guidelines that are provided for their program and position within the church's children's and youth ministry.
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  • Applicant Identification

    Consistent with relevant law, the information on this application will not be disclosed to unauthorized persons. You may use the back of the paper for explanations or you may attach extra pages for the children and youth who participate in our programs or use our facilities.
  • Is there another name you have used recently, such as a maiden name?
  • Put "None" if you do not have a Driver's License.
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  • Disciplinary and Legal Background

  • You will need to answer "Yes" if you have entered into a plea agreement, including a deferred sentence or deferred judgment arrangement, in connection with a criminal charge. If you live in Colorado, Illinois, Ohio, Oklahoma, or Washington (state), you need not disclose information that is contained in sealed or expunged records. If you have been convicted of such an offense, please attach a statement of explanation, including nature of offense, date, court where conviction was entered, and any other relevant information.
  • If you live in Colorado, Illinois, Ohio, Oklahoma, or Washington (state), you need not disclose information that is contained in sealed or expunged records. Do not answer this question if you live in Michigan, New York, Rhode Island, Washington (state), or Wisconsin. If you have been charged with such an offense, please attach a statement of explanation, including nature of offense charged, date, law enforcement agency making the charge, and any other relevant information.
  • If so, provide a description of the circumstances and name and address of the entity receiving the report.
  • If so please describe the circumstances and provide the name and address of the church, denomination or religious organization involved.
  • You may refuse to answer this question, or you may discuss your answer in confidence with a pastor or church leader rather than answering on this form. Answering yes or failing to answer will not automatically disqualify an applicant for children or youth work.
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  • Church Activity

    List other churches you have attended over the past five years.
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  • Previous Youth Work

    List previous work (church and non-church) involving children or youth.
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  • Employment History

    Identify all employers for whom you have worked within the last 5 years. Include part-time and temporary employers. Start with your most recent employer. (Please fill out to the best of your ability.)
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  • References

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  • Consent and Signature

  • I hereby authorize all employers, organizations, churches, and other entities and persons identified in this form to release any information contained in their files or records concerning me.

    In consideration of the receipt and evaluation of this application by HOPE PRESBYTERIAN CHURCH I hereby release HOPE PRESBYTERIAN CHURCH and any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization. I waive any right that I may have to inspect any Information provided about me by any person or organization identified by me in this application. I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF, AND I SIGN THIS RELEASE AS MY OWN FREE ACT.

    I understand and agree that it is critical to the mission and ministry of HOPE PRESBYTERIAN CHURCH that all employees and volunteers conform to the highest standards of safety, interpersonal conduct, and sexual morality. I affirm that I will strictly comply with HOPE PRESBYTERIAN CHURCH youth ministry policies and procedures, including those concerning child safety and protection, sexual abuse and misconduct, and interpersonal relationships. I understand and agree that failure by me to abide by such policies and procedures may result in my immediate dismissal, or disciplinary action, all at the discretion of the church.

    My responses above are truthful and accurate. I understand and agree that if they are not truthful and accurate, HOPE PRESBYTERIAN CHURCH may determine that I am no longer qualified to be associated with its programs as a church worker, employee, or volunteer in any capacity.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.
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Address: 11512 Olson Dr. Austin, TX 78750

Phone: 512-258-9117

Email: info@hopeaustin.org

 

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