Citylight Kids Application

This address will receive a confirmation email

What age would you like to serve with?

Babies Toddlers (18 mo-2 years) Preschool (3-4 years) Kindergarten-1st Grade 2nd-5th Grade

Are you interested in being a lead teacher?

What is your t shirt size?

Background Information

How long have you attended Citylight North Lincoln?

Are you in a city group? If so, which one?

If you were to die today, do you believe you would go to heaven? Why?

Why are you interested in helping with Citylight Kids?

Have you been baptized as a believer? (This is not a requirement to be able to serve)

Have you ever been the victim of an act of domestic violence, child pornography, child abuse, or child molestation?

Yes No

Have you ever been convicted of a crime (excluding traffic violations) including, but not limited to, domestic violence, child pornography, child abuse, child molestation, or any other crime involving another person?

Yes No

If yes, specify the nature of the crime and the name and address of the court in which you were convicted in or put N/A.

Do you suffer from any contagious or infectious disease or condition that could be transmitted to others through the work you would be performing?

Yes No

If yes, describe the nature of the disease or condition, even if you believe the risk of contamination to be relatively low.

Have you ever been subject to any disciplinary action or investigation (including discharge) by an employer, church, or religious organization?

Yes No

If yes, provide the date, nature, and reason for the disciplinary action or investigation, the name and address of the organization involved, and the name and phone number of a person familiar with the circumstances.

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 CHILDREN OF GOD.

I believe this statement of faith to be true and have experienced this for myself.

Yes No

I agree to submit to the leadership of the church by teaching lessons according to the curriculum provided by CityLight Kids and approved by the ministry team.

Yes No

Applicant's Statement

STATE GOVERNMENT PROVIDES A CRIMINAL RECORDS CHECK SERVICE TO NONPROFIT ORGANIZATIONS. USE OF THAT SERVICE HELPS TO INSURE A SAFER ENVIRONMENT FOR THOSE WHOM WE MINISTER TO, AS WELL AS PROTECTION FOR VOLUNTEERS, SHOULD A FALSE ALLEGATION OCCUR.

Because attorneys for The Christian Missionary Alliance recommend that use of such services can be important, I consent to this Alliance church (CityLight Church) to conduct a criminal records check, as deemed necessary.

Yes No

I cerfify that the information in this application is true and complete to the best of my knowledge and authorize representatives of CityLight Church to verify the information contained herein.

Yes No

I understand that if I serve as a volunteer and my character and choices become questionable, or inappropriate, that without notice, my volunteer services will be terminated.

Yes No

Character Reference #1

PROVIDE THE NAME, NUMBER, AND LENGTH OF RELATIONSHIP WHO WE CAN CONTACT AS A CHARACTER REFERENCE.

How are you acquainted with them?

Length of relationship

Character Reference #2

PROVIDE THE NAME, NUMBER, AND LENGTH OF RELATIONSHIP WHO WE CAN CONTACT AS A CHARACTER REFERENCE.

Citylight Kids Application

Description

Please Fix the Following