Kiosk Volunteer Application Form - Creation Experience Museum

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Name *

First

Last

Gender *

Male
Female

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Date of Birth *

Under 18?

Marital Status *

Single
Married
Engaged
Separated
Divorced
Remarried
Widowed

Church Attendance

Name of Church *

Regularity of Attendance *

Weekly
Monthly
Occassionally
In Transition

References

(Two people you have known for at least one year, and are 18+ years old)

Reference #1 *

First

Last

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Relationship to Reference *

I have known him/her for... *

Reference #2 *

First

Last

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Relationship to Reference *

I have known him/her for... *

Has anyone ever brought or threatened to bring a civil or criminal claim against you alleging physical or sexual abuse or sexual harassment? *

there long the

Have you ever been charged, arrested, or convicted of a felony? *

Please explain:

Is there anything in your past that might come up as a questionable issue concerning the care of minors? *

Please Explain:

How long have you been a Christian? *

Do you have any prior experience working with children/youth? If so, when and where? *

What other Christian ministries have you been involved with? *

Is there any other information about yourself you would like us to know? *

Volunteer Statement

The information contained in this application is correct to the best of my knowledge. I authorize any reference listed, as well as any sources not provided in this application, to give you any information (including opinions) that they may have regarding my character and fitness for ministry to persons of all ages. In consideration of the evaluation, charity, employer, reference, or any other person or organization, including record custodian, both collectively and individually, from any and all liability for damages of whatever kind of nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I waive any right that I have to inspect any information provided about me by any person or organization identified by me (or not identified by me) in this application.

I agree to be committed to the Mission of Creation Ministries of the Ozarks as well as to its core values. I have read and agree with the CMOTO Statement of Faith. Volunteers at CMOTO should be committed to prayer and spiritual maturity and be part of a healthy, functioning church. They should also be committed to discipleship and leadership development for the purpose of ministry.

I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and understand.

Volunteer Signature *

Clear Signature

Date *

Parent's Signature (if under 18)

Clear Signature

Date

Fill out our volunteer application form and learn more about opportunities at the Creation Experience Museum.

Church Attendance

References

Volunteer Statement