<p> Date Completed______Kids’ Club at Bayside STUDENT LEADER APPLICATION</p><p>Last Name______First Name______</p><p>Mailing Address ______</p><p>City______Zip______Gender ______</p><p>Email Address______</p><p>Today’s Date ______Age______Birth Date: Mo______Day______Year______</p><p>Home Phone ______Cell Phone ______</p><p>Social Security #______</p><p>School______Grade______</p><p>Parents’ Names ______</p><p>When did you start attending Bayside Church? ______</p><p>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: ______</p><p>Are you a Christian? Yes No I’m not sure I think so</p><p>Have you been baptized? Yes Not yet</p><p>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.</p><p>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.</p><p>3. Why do you want to be a Student Leader? Why would you make a good Student Leader? Personal References</p><p>Teacher’s Statement (Can be someone from school, church, scouts, etc.)</p><p>I think this person would be a good Student Leader because: </p><p>______Signature</p><p>______Phone</p><p>Parent’s Statement: </p><p>I think my child would be a good Student Leader because: </p><p>______Signature</p><p>______Phone</p><p>Statement from Third Reference (must be 18 or older and NOT family): </p><p>I think this person would be a good Student Leader because: </p><p>______Signature</p><p>______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. </p><p>Have you had experience working with children? ____Yes ____No</p><p>Have you taken any classes that have prepared you for working with kids? ____Yes ____No</p><p>Have you had any other experiences in your life that better equipped you for a productive ministry with children? ____Yes ____No</p><p>Do you use illegal drugs? ____Yes ____No</p><p>Do you use alcohol? ____Yes ____No</p><p>Are there any circumstances involving your lifestyle or your background that would call into question your ability to work with children? ____Yes ____No</p><p>Please explain your answers: ______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>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.</p><p>Signature of Student______Date______</p><p>I verify that, to the best of my knowledge, the information given on this application is complete and accurate. Signature of Parent______Date______</p>