Todays Date

YYYY

Area(s) of Ministry Interest

Full Legal Name

First Name

Last Name

Other Names Used (maiden, married, aliases - needed if a background check is required)

Current Address

City, State, Zip Code

Home Phone Number

(###)

###

####

Cell Phone Number

(###)

###

####

Previous Church Attended

What Ministry Are You Interested In?

If someone referred you to this ministry, please note their name as well

Date You Are Available to Begin

Previous Involvement

If you are already serving at Bethel, new references are not required, just enter "N/A" in the spaces below. If you are a first-time applicant. please provide at least 3 references.

LIST OF REFERENCES

Please provide at least 3 references. . If this is not applicable, enter "N/A" below.

Please Give Us 1 - 3 Personal References

We are asking for their full name, best phone number, and an email.

Please Give Us 1 - 2 Professional References

We are asking for their full name, best phone number, and an email.

Please Give Us 1 - 2 Pastoral References (where possible)

We are asking for their full name, best phone number, and an email.

CANDIDATE STATEMENT

Please read carefully before signing. I hereby authorize you to contact any references listed on this application. I understand an initial and periodic criminal background record check may be conducted on me, and I consent to any such checks. I understand and agree that it is critical to the mission and ministry of Bethel Christian Fellowship that all volunteers conform to the highest standards of safety, interpersonal conduct, and sexual morality. I affirm that I will strictly comply with Bethel Christian Fellowship policies and procedures, including those concerning child safety and protection, sexual abuse and misconduct, and interpersonal relationships. I understand and agree that failure by me to abide by such policies and procedures may result in immediate dismissal from my volunteer position(s). My responses above are true and correct. I understand and agree that any false answers or statements made by me on this form or any supplement thereto, or any false statements made to the ministry leaders at Bethel Christian Fellowship during the interview process will be sufficient grounds for not allowing me to serve or immediately discharging me, no matter when it is discovered. I have carefully read, understand and agree to the foregoing "Candidate Statement" and further understand and agree that a copy of this form be as valid as the original.

First Name

Last Name

CHILD SAFETY POLICY

As a volunteer at Bethel, you may have direct or indirect access to children. We expect you to conduct yourself at all times in an appropriate manner, never harming a child with verbal, physical, mental or sexual abuse. Should there be any occasion where your behavior or the behavior of fellow workers comes into question, we expect you to report the behavior immediately.

First Name

Last Name

Please submit a head and shoulders picture of yourself via email to info@bethelcf.com. Write in the subject line: VOLUNTEER HEADSHOT, and in the body of the email give us your name and the Ministry you're seeking involvement in. If you do not have a picture, we can take one for you. Contact our office at 585-232-1136 ext. 10 to do this.

When we receive your picture, we will match your photo with the Volunteer Form you are about to submit. Please note that further steps in this screening process will follow once this form has been approved. Details will be sent through an email and/or hard copy.