Volunteer Application - Altar Counselor
 
Volunteer Application - Altar Counselor
Personal Information:
Name: First and Last  * 
Date of Birth  * 
Present Address  * 
City  * 
State  * 
Zip Code  * 
Your Email Address  * 
Sex  * 
Telephone Number  * 
Occupation  * 
Marital Status  * 
Position Applying For  * 
Have you accepted Jesus Christ as your personal Savior and Lord?  * 
How long have you been a member of Immanuel Baptist Church?  * 
Ministry History:
List any other churches you have attended in the past five years
List all prior church volunteer experience with minors or dependent adults
Please list two professional or ministry references:
Reference1 Name  * 
Relationship to Applicant  * 
Address  * 
City  * 
State  * 
Zip Code  * 
Telephone Number  * 
Email Address
Reference 2 Name  * 
Relationship to Applicant  * 
Address  * 
City  * 
State  * 
Zip Code  * 
Telephone Number  * 
Email Address
Safety:
1. Have you received a copy of the “Child Abuse & Neglect” paperwork?  * 
2. Would a minor be safe in your home?  * 
3. Do you consider yourself a safe driver?  * 
4. Have you received a traffic ticket or conviction in the past 5 years?  * 
5. If you own weapons, are they secured and inaccessible to minors in your home?  * 
If you have answered yes to #4 or #5 above, please explain
6. Have you ever been accused of, participated in, or been convicted of sexual misconduct?  * 
Personal Testimony:
Please share your salvation testimony in a paragraph or two. If you have not made the decision to follow Christ as Savior and Lord, please write “N/A” here. * 
 
 
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