Ministry Application Form-Adult • Stow Alliance Fellowship

This Form is for anyone over 18 years of age.

Are you over 18 years of age? *

Personal Information

First Name *

Last Name *

Home Address *

Home City *

Home State *

Home Zip Code *

Mobile Number *

Email Address *

Birthdate *

Social Security Number: Once form is submitted you will be contacted for your Social Security Number in order for us to perform a background check.

Date of Birth *

Personal History

Hobbies, Interests or Skills *

Spiritual History

When did you receive Christ as your Savior? *

Briefly share your spiritual journey. *

How long have you attended Stow Alliance *

Do you regularly attend two or more services a month? *

List any gifts, training, education, or other qualifications that you believe have prepared you to minister with children or youth. *

Briefly share your motivation for wanting to serve in the ministries of Stow Alliance. *

Describe any conditions or limitations that might restrict or prevent you from performing certain activities involved in the volunteer position for which you are being considered. (I.e.. lifting, handling an emergency, driving, participating in a sport, etc.) *

Ministry Information and Experience

List Churches you have attended in the past 5 years

Name of Church #1 *

Address of Church *

Dates Attended *

Name of Church #2

Address of Church

Dates Attended

My present and previous ministry experience:

Name of Church/Organization #1

Dates

Description of Ministry

Pastor/Ministry Supervisor Name

email address

Name of Church/Organization #2

Date

Description of Ministry

Pastor/Ministry Supervisor Name

email address

Information about your ability to work with Children and Young People

In order to provide a safe and secure environment for our church’s children and young people, we believe it is necessary to ask the following questions as part of our application process.

All information will be kept in confidence by church leaders and the Safe Place team. It will not be disclosed by the church unless required by law.

Answering “yes” to any of the following questions may not necessarily prevent you from volunteering with the church. We will follow up for more information.

Thank you in advance for your understanding.

1. Are there any circumstances involving your lifestyle or background that could call into question your ability to work with children or young people in a Christian environment? (E.g. sexually pure life as prescribed in the Bible, use of pornography, use of alcohol, drugs, or illegal substances, etc.) *

2. Have you ever been convicted or found guilty of a criminal offense for which a pardon has not been granted (Note: this does not include minor traffic violations)? *

3. Have you ever been expelled from or had your employment terminated by any organization or employer for assault or violence against any person, or for assault, violence, or impropriety with children, young people, or vulnerable persons? *

4. Have you ever been investigated by a child welfare agency or any other organization for suspected child abuse? *

5. Have you ever been a defendant or respondent in a civil lawsuit or human rights complaint or other legal proceeding in which you were alleged to have abused or engaged in violence, harassment or other immoral or illegal behavior or conduct involving children, young people or vulnerable persons? *

6. Do you have any health concerns which could impact your ability to perform the functions of the volunteer position for which you are applying? (Please note such health concerns may not prevent you from holding the position for which you have applied) *

7. Do you have any contagious diseases or conditions of which we should be aware, and which we may need to take steps to protect against transmission should you volunteer at the church? *

If you answered yes to any of the above please explain. If you do not wish to put it on the form please feel free to contact me directly. *

RELEASE OF INFORMATION AND DECLARATION OF INTENT

I hereby give Stow Alliance permission to verify the information provided by me in this application, and to contact the references and current and former employers listed above and to obtain and verify any information from them (and any other persons that the church determines might be able to provide relevant information) that may be relevant to my application.

I grant my permission for the church to perform a criminal background check on me.

I further grant the church permission to perform an online search on me, and to review and consider any information found about me on the internet.

I understand that if the church approves my volunteer application and later determines, in its discretion, at any time, that I am not suitable for volunteer service in the church, or for the volunteer position for which I am applying, the church may terminate my volunteer service or volunteer position for any reason without advance notice.

If the church approves my application for a volunteer position, I will sign any documents that the church requires.

I will, at all times, cooperate fully with the staff of the church in the fulfillment of my duties, and will keep confidential all information I encounter in my role as a volunteer.

If at any time I determine that for any reason I am unable to support or adhere to or follow the policies, procedures, or doctrine of the church, I will inform the church and will resign my volunteer position.

I hereby acknowledge that, to the best of my knowledge, the information contained in this application is true and correct. Please type Full Name below. *

Christian and Missionary Alliance Statement of Faith

1. There is one God,1 who is infinitely perfect,2 existing eternally in three persons: Father, Son, and Holy Spirit.3 (1 Deuteronomy 6:4, 2 Matthew 5:48, 3 Matthew 28:19)

2. Jesus Christ is true God and true man.4 He was conceived by the Holy Spirit and born of the Virgin Mary.5 He died upon the cross, the Just for the unjust,6 as a substitutionary sacrifice,7 and all who believe in Him are justified on the ground of His shed blood.8 He arose from the dead according to the Scriptures.9 He is now at the right hand of the Majesty on high as our great High Priest.10 He will come again to establish His kingdom of righteousness and peace.11 (4 Philippians 2:6-11, 5 Luke 1:36-38, 6 I Peter 3:18, 7 Hebrews 2:9, 8 Romans 5:9, 9 Acts 2:23,24, 10 Hebrews 8:1, 11 Matthew 26:64)

3. The Holy Spirit is a divine person, 12 sent to indwell, guide, teach, empower the believer, 13 and convince the world of sin, of righteousness, and of judgment.14 (12 John 14:15-18, 13 John 16:13, Acts 1:8, 14 John 16:7-11)

4. The Old and New Testaments, inerrant as originally given, were verbally inspired by God and are a complete revelation of His will for the salvation of men. They constitute the divine and only rule of Christian faith and practice.15 (15- 2 Peter 1:20-21, II Timothy 3:15-16)

5. Man was originally created in the image and likeness of God: 16 he fell through disobedience, incurring thereby both physical and spiritual death. All men are born with a sinful nature,17 are separated from the life of God, and can be saved only through the atoning work of the Lord Jesus Christ.18 The portion of the impenitent and unbelieving is existence forever in conscious torment;19 and that of the believer, in everlasting joy and bliss.20 (16 Genesis 1:27, 17 Romans 3:23, 18 I Corinthians 15:20-23, 19 Revelation 21:8, 20 Revelation 21:1-4)

6. Salvation has been provided through Jesus Christ for all men; and those who repent and believe in Him are born again of the Holy Spirit, receive the gift of eternal life, and become the children of God.21 (21 Titus 3:4-7)

7. It is the will of God that each believer should be filled with the Holy Spirit and be sanctified wholly,22 being separated from sin and the world and fully dedicated to the will of God, thereby receiving power for holy living and effective service.23 This is both a crisis and a progressive experience wrought in the life of the believer subsequent to conversion.24 (22 I Thessalonians 5:23, 23 Acts 1:8, 24 Romans 6:1-14)

8. Provision is made in the redemptive work of the Lord Jesus Christ for the healing of the mortal body.25 Prayer for the sick and anointing with oil are taught in the Scriptures and are privileges for the Church in this present age.26 (25 Matthew 8:16-17, 26 James 5:13-16)

9. The Church consists of all those who believe on the Lord Jesus Christ, are redeemed through His blood, and are born again of the Holy Spirit. Christ is the Head of the Body, the Church,27 which has been commissioned by Him to go into all the world as a witness, preaching the gospel to all nations.28 The local church is a body of believers in Christ who are joined together for the worship of God, for edification through the Word of God, for prayer, fellowship, the proclamation of the gospel, and observance of the ordinances of Baptism and the Lord=s Supper.29 (27 Ephesians 1:22-23, 28 Matthew 28:19-20, 29 Acts 2:41-47)

10. There shall be a bodily resurrection of the just and of the unjust; for the former, a resurrection unto life; 30 for the latter, a resurrection unto judgement.31 (30 I Corinthians 15:20-23, 31 John 5:28-29)

11. The second coming of the Lord Jesus Christ is imminent 32 and will be personal, visible, and premillennial. 33 This is the believers blessed hope and is a vital truth which is an incentive to holy living and faithful service.34 (32 Hebrews 10:37, 33 Luke 21:27, 34 Titus 2:11-14)

Please type your full name below indicating that you agree with all the above statements in our Statement of Faith. *

References

Please provide the names of 3 individuals, excluding relatives, who could provide a reference for you.

At least 2 need to be from outside of Stow Alliance.

Reference #1

First Name *

Last Name *

Email Address *

Mailing Address *

Reference #2

First Name *

Last Name *

Email Address *

Mailing Address *

Reference #3

First Name *

Last Name *

Email Address *

Mailing Address *