Partnering with parents in their child's persuit of Jesus
Hopetown/Hopetown Jr.
Hero Helpers Application
This application is to be completed by all those desiring a ministry position involving the supervision or custody of minors. It is used to help the church provide a safe and secure environment for the children who participate at Hope Chapel Apex, N.C.
First Name
Middle Name
Last Name
Nick Name
Address 1:
Address 2:
City
State - Zip
-
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
How Long at this Address?
Previous Address:
Number of Years at Previous Address
Gender:
Male
Female
Birth Date: (mm/dd/yyyy)
Home Phone:
Best Time to call:
Work Phone:
Email Address:
Marital Status:
Single
Married
Divorced
Spouse's Name:
(if married)
Number of Children:
Ages:
Emergency Contact:
Phone Number:
Employment history of last five years:
Occupation:
Current Employment Number of Years:
Current
Employer's name:
Phone:
Local Personal References (Must be 18 years old and not related to you)
Name:
Relationship:
Address:
Phone:
Name:
Relationship:
Address:
Phone:
Home Chapel
How long have you attended Hope:
Are you in a small group:
Yes
No
List any leadership/volunteer experience you have had with children:
List any training or education that has prepared you to work with children:
List any other Hope Chapel ministries in which you are involved:
Age/Grade Preference:
Babies to 23 Months
4 year old
Grades 2 and 3
2 and 3 years old
Grades Kindergarten and 1
Grades 4 and 5
Hour Preference:
Sunday 9:00
KidU - Kids Club
Special Events
Sunday 11:00
Hopetown Choir
The questions below are part of the process to help provide a safe and secure environment for our children. All information is held strictly confidential by the Hope Chapel staff.
We conduct background checks of any previous violations involving a child.
Do you have any objections?
Yes
No
Have you had any experiences that might make it difficult for you to minister to children at Hope Chapel?
Yes
No
Do you have any health issues that could place the children of Hope Chapel at risk?
Yes
No
If you have answered yes to any of the above questions, please explain briefly below:
Tell Us About You
My Favorite hobby is:
My greatest passion in life is:
The greatest strength I possess is:
What motivates you? (Write a couple of lines on how you like to be encouraged).
In a few sentences please describe your Christian testimony
Should my application be accepted, I agree to follow the policies of Hope Chapel and to refrain from unscriptural conduct in the performance of my services on behalf of the church. I understand that the personal information will be held confidential by the church staff.
Your Name:
Date: