Volunteer Application Thank you for your interest Creation Ministries of the Ozarks (CMOTO) Volunteer Application Form Please enable JavaScript in your browser to complete this form. - Step 1 of 4Name *FirstLastGender *MaleFemaleAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Date of Birth *Under 18?YesNoMarital Status *SingleMarriedEngagedSeparatedDivorcedRemarriedWidowedChurch AttendanceName of Church *Regularity of Attendance *WeeklyMonthlyOccassionallyIn TransitionNextReferences(Two people you have known for at least one year, and are 18+ years old)Reference #1 *FirstLastAddress *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Relationship to Reference *I have known him/her for... *Reference #2 *FirstLastAddress *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Relationship to Reference *I have known him/her for... *NextHas anyone ever brought or threatened to bring a civil or criminal claim against you alleging physical or sexual abuse or sexual harassment? *YesNoHave you ever been charged, arrested, or convicted of a felony? *YesNoPlease explain:Is there anything in your past that might come up as a questionable issue concerning the care of minors? *YesNoPlease 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? *NextVolunteer StatementThe 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 DateSubmit
