Date of Birth:*
If married, spouse's name:
If children, name(s) and age(s):
Primary Phone (or best contact number):*
As a member or volunteer, please tell us:
Ministries you have PREVIOUSLY served in:
Ministries you are CURRENTLY serving in:
Ministry you WOULD LIKE TO BE engaged in:
What do you do for a living?
What is your religious background (previous church involvement, how you were raised)?
What brought you to Bethany Church?
How long have you attended Bethany Church?
Have you personally accepted Jesus Christ as your Lord and Savior?
Please share your personal spiritual story. (Helpful Hints: When did you receive Christ? Where? How? Why?)
Describe your CURRENT WALK with Christ. What is He teaching you lately? How consistent is your devotional life?
How can Bethany Church best meet your needs?
If there is one thing you would improve about Bethany Church, what would it be?
We conduct background checks (through "Protect My Ministry") for all volunteers. Do you have any reason to believe a background check would disclose any negative information?
Have you ever been accused of or been charged with any conduct that could be regarded as sexual misconduct?
Have you ever been convicted of, plead guilty to, or have charges pending concerning any felony?
Do you have any contagious disease, health issues, or history of emotional illness that would currently place children, other volunteers, or yourself at risk?
Do you have any history, either personally or in your family background, of: alcohol abuse, drug abuse, physical abuse, or sexual abuse?
If yes, please specify and include what, if any, steps you have taken to minimize the impact those issues could create for you:
Have you ever been concerned or has anyone ever suggested that you may have an addiction to drugs, alcohol, pornography, or any other addiction?
Have you ever been treated for a psychiatric disorder?
Is there any circumstance or pattern in your life which would make it inappropriate for you to volunteer at Bethany Evangelical Free Church or would compromise the integrity of Bethany Evangelical Free Church?
Please list a personal, ministry, or church reference whom we may contact (someone who has known you for more than 6 months; may not be a relative or the pastor or director of the ministry for which you are applying):
Reference email (email is our preferred means of contact; if email is not available, please list other means of contact):
Reference Cell Phone:
Reference Home Phone:
Reference Work Phone:
Nature/Length of association with reference: