Area of service

Office use only

Student Volunteer Application
(This form is required every 2 years)

Name (Include Middle Initial)______________________________________________________________
Date of Birth (Month/Date/Year) ______________________ Social Security Number ___ ______________
Address ____________________________________________________________________________ __
Home Telephone (Include Area Codes) ___________________ Email _____________________________
In what area will you be serving: ___________________________________________________________
In case of emergency, please contact:
1. _______________________________________ phone: ___________________________
2. _______________________________________ phone: ___________________________

As a volunteer at Church of the Resurrection, do you agree to observe all church policies? _____Yes
Have you ever been convicted of a criminal offense? ___________________________________Yes
Do you have any criminal charges pending? __________________________________________Yes
Have you ever been convicted of child neglect or abuse? _______________________________Yes
Do you have any charges of child neglect or abuse pending? ____________________________ Yes


List two references, other than family members, who are familiar with your character:
(Name/Address/Telephone Number/Relationship) (i.e. neighbor, teacher, baby-sit for)
1. _________________________________________________________________________________
2. _________________________________________________________________________________

Participant/Parent Covenant
As a volunteer in Children’s Ministry at Resurrection, I agree to:
1. Be sincere in my motives for attending and to make foremost the goals of personal growth and
Christian fellowship.
2. Not bring or use any alcohol, tobacco products, illegal drugs, or weapons.
3. Not participate in any behavior that endangers others.
4. Follow all rules.
5. Exhibit appropriate and respectful behavior, attire, and language.
6. Not have my cell phone in the classroom while serving.
7. Arrive 20 minutes before my service time unless otherwise agreed upon.
8. Remember no food or beverages in the classrooms.

Participant signature: ________________________________ Date _______________

Parent/Guardian name: __________________________Relationship _____________

The Church of the
Resurrection is unaware of
any information contrary to the
information stated on this
Action Taken _____________
Approved by _____________

Parent/Guardian signature ___________________________ Date ________________

Date ____________________
Member ____ Lanyard _____
Entered in Arena _____

Revised 7/2010

Have you volunteered within Children’s Ministries before? Yes


If yes, what was your most recent date of participation?__________________________
Do you have a KiDS COR lanyard/name tag? Yes


If no, how do you want your name to read on your KiDS COR lanyard/name tag?

Where are you serving? (Please circle area and time if listed)

Saturday Evening Nursery (Infant – Age 2)
Saturday Evening Early Childhood Guide (Age 2-Pre-K)

Sunday Evening Nursery (Infant – Age 2)
Sunday Evening Early Childhood Guide (Age 2 - Pre-K)
Sunday Evening (K – 5th Grade)

Sunday Morning Nursery (infant-Age 2) 9:00 or 10:45
Sunday Morning Early Childhood Guide (Age 2-Pre-K) 9:00 or 10:45
Sunday Morning Elementary Guide (K-5th Grade) 9:00 or 10:45

Information Booth
Sat. 5
Sun. 9:00 or 10:45
Sat. 5
Sun. 9:00 or 10:45
Drama Team
Sat. 5
Sun. 9:00 or 10:45
Sound Booth
Sat. 5
Sun. 9:00 or 10:45
Music Team
Sat. 5
Sun. 9:00 or 10:45
Parent helper
Sat. 5
Sun. 9:00 or 10:45
Summer Classroom Helper Sat. 5
Sun. 9:00 or 10:45
Christmas Eve Nursery
Easter Nursery
Special events – Family Advent Night 3rd Grade Bible VBC
W.I.L.D. 1s
Summer Sports Camp
Bin Babe
Photographer or Filming

Sun. 5
Sun. 5
Sun. 5
Sun. 5
Sun. 5
Sun. 5
Sun. 5

Please return this form to your program director or a KiDS COR Ministry Connector:
Stacy Furey 232-4194 or
Fax: 544-0799
Revised 7/2010