Volunteer Application Form

Volunteer Application Form

All persons who, for the first time, are applying and/or being considered for a volunteer position with Haven Community Church that will require or result in frequent interaction with children or youth (more than 15 contact hours per year) shall be required to complete this application. The application shall be submitted to the individual responsible for child and youth programming.

Volunteer Application Form

Volunteer Information

All persons who, for the first time, are applying and/or being considered for a volunteer position with Haven Community Church that will require or result in frequent interaction with children or youth (more than 15 contact hours per year) shall be required to complete this application. The application shall be submitted to the individual responsible for child and youth programming.
Enter First, Middle, and Last Name
Must be physical address, not PO Box

Agreements for Volunteer

Agreement to Complete a Background Check *
I agree to undergo a secure, on-line, confidential background check I understand I will be contacted by email to begin the background check, and that I will be asked to provide my Social Security number, date of birth, address history, and driver’s license number through this secure, on-line site. I understand that my background check results will be provided to Haven Community Church’s Safe Sanctuary Team and that all results will be kept secure and confidential.
Agreement to Complete Child Safety Training *
I agree to complete an on-line Child Safety Training course and quiz. I understand I will be contacted by email with the class information, and that my course completion and quiz information will be provided to Haven Community Church’s Safe Sanctuary Team.
Safe Sanctuary Policy Agreement *
I have been provided with, read and agree to abide by the Haven Community Church Safe Sanctuary Policy. I understand that the guidelines, policies, and procedures contained within are intended for the safety and protection of all the children, youth, employees, volunteers, and leaders involved in the programs and services of Haven Community Church.
Certification and Authorization for Release of Information *
I certify by my signature below that (1) I have never been convicted of or pled guilty to a felony; (2) no civil, criminal, ecclesiastical complaint has been sustained* or is pending** against me for sexual misconduct or child abuse; and that I have never resigned or been terminated from a position for reasons related to sexual misconduct or child abuse.

Application Submission

By entering my name below, I hereby certify and affirm that the information in this form is accurate to the best of my knowledge. I further certify and affirm that I have read the above certification form and fully understand that the information obtain may be used to deny me appointment as a volunteer of Haven Community Church. I also agree that I will hold harmless Haven Community Church and its agents, employees, the employing or judicial authority or any other entity from any and all claims, liabilities, and causes of action for legitimate release of any information related to sexual misconduct, child abuse or felony criminal history.
Enter Full name

Definitions

For purposes of this form, the term “sustained” shall mean: (1) in a criminal court “sustained” means that there has been a guilty plea, a guilty verdict or plea-bargain; (2) in a civil court, “sustained” means that there has been a judgement against the defendant. For purposes of this form, the term “pending” shall mean: (1) in a criminal court, “pending” means a criminal charge before a grand jury, in the process of being prosecuted, or in a case in which there is not yet a verdict; (2) in a civil court, “pending” means a case in which there has not been a decision or judgment.
reCAPTCHA
Show Buttons
Hide Buttons