Kids Club at Bayside

Date Completed______Kids’ Club at Bayside STUDENT LEADER APPLICATION

Last Name______First Name______

Mailing Address ______

City______Zip______Gender ______

Email Address______

Today’s Date ______Age______Birth Date: Mo______Day______Year______

Home Phone ______Cell Phone ______

Social Security #______

School______Grade______

Parents’ Names ______

When did you start attending Bayside Church? ______

Please check the activities in which you have been involved: ______Sunday morning worship ______The Gathering (Sundays at 10:30am) ______Fuel (events for middle school students) ______Underground (events for high school students) ______Connect groups/ House parties ______Vacation Bible Schools ______Middle School Summer Camp ______Florida State Youth Convention ______International Youth Convention ______High school missions trips ______Other: ______

Are you a Christian? Yes No I’m not sure I think so

Have you been baptized? Yes Not yet

On another sheet of paper, please briefly answer the following questions. 1. Tell about yourself….how old you are, where you go to school, your talents and abilities, likes and dislikes, etc.

2. Tell about your Christian walk…when you became a Christian, how it all happened, how you stay close to God, the difference Jesus makes in your life.

3. Why do you want to be a Student Leader? Why would you make a good Student Leader? Personal References

Teacher’s Statement (Can be someone from school, church, scouts, etc.)

I think this person would be a good Student Leader because:

______Signature

______Phone

Parent’s Statement:

I think my child would be a good Student Leader because:

______Signature

______Phone

Statement from Third Reference (must be 18 or older and NOT family):

I think this person would be a good Student Leader because:

______Signature

______Phone The questions listed below are a part of our interview process in order to help provide a safe and secure environment for our children. The Children’s Ministries and pastoral staff hold all information strictly confidential.

Have you had experience working with children? ____Yes ____No

Have you taken any classes that have prepared you for working with kids? ____Yes ____No

Have you had any other experiences in your life that better equipped you for a productive ministry with children? ____Yes ____No

Do you use illegal drugs? ____Yes ____No

Do you use alcohol? ____Yes ____No

Are there any circumstances involving your lifestyle or your background that would call into question your ability to work with children? ____Yes ____No

Please explain your answers: ______

______

The information contained on this application is correct to the best of my knowledge. I authorize any references, churches, or other organizations listed in this application to give you any information they may have regarding my character and fitness for working with children. I release all such references from liability for any damage that may result from furnishing such evaluations to you. I understand that any omission of material fact on this application may be grounds for rejection of this application. I give permission for this information to be updated periodically as needed. Should my application be accepted, I agree to cooperate with the church staff and teachers. I will follow the policies of Bayside Church and I will refrain from unscriptural conduct in the performance of my services on behalf of Bayside Community Church of God.

Signature of Student______Date______

I verify that, to the best of my knowledge, the information given on this application is complete and accurate. Signature of Parent______Date______