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Xtreme Kids Adult Leader Application Form

Thank you for joining the Xtreme Kids team at St. Albert Alliance Church! It is a joy to partner with you in creating a welcoming, safe environment where kids can come to know, love and serve Jesus. It is an amazing adventure with eternal rewards!

“Anyone who welcomes a little child like this on my behalf is welcoming me!” Matthew 18:5 (NLT)

Children are important to Jesus, and highly valued by Xtreme Kids too! To ensure the safety of our children, youth and leaders, the following processes are put in place: application form, interview, police check, intervention record check, and reference checks. Thank you for making the safety and protection of kids a high priority!

Please click HERE to read our Statement of Faith.

Your name *

Last name

Email address *

Phone number *

Phone type

Ministry of Interest *

Which areas of Children’s Ministry are you interested in serving? (choose all that apply)

Nursery (infants to 23 months)

Littles (ages 2-3)

Middles (ages 4-5 & K)

Grades 1-2

Grades 3-4

Grades 5-6 (Ignite Sunday morning)

Check In

Buddy Support (one-on-one with kids)

Time Preference *

Which areas of Children’s Ministry are you interested in serving? (choose all that apply)

Sunday 9:00 AM

Sunday 11:00 AM

Spiritual History

What abilities and/or experience do you bring to this ministry? *

ie. Gifts, talents, hobbies, interests, skills, etc.

How long have you attended St. Albert Alliance Church? *

When did you accept Jesus as your Saviour? *

What does your faith mean to you? How do you grow deeper in your relationship with Jesus? *

Confidential Information

In order to continue to provide a safe and secure environment for our children and youth, we believe it is necessary to ask you the following questions. All information will be kept confidential and will not be disclosed by the Church unless required by law. Answering "Yes" to any of the following questions may not necessarily prevent you from serving with the Church. Thank you for your understanding and honesty.

Are there any circumstances involving your lifestyle or history that could call into question your ability to work safely with children or youth? *

Have you ever been convicted or found guilty for the use or sale of illegal drugs? *

Yes

Have you ever been convicted or found guilty of a criminal offence, excluding minor traffic violations? *

Yes

Have you ever been subject to any disciplinary action, lawsuit, or legal proceeding for which you have been accused of sexual misconduct, sexual harassment, assault or violence against any person, child, youth or vulnerable person? *

Yes

Have you ever been accused, arrested, or convicted for any abuse related crime? *

Yes

Have you ever been subject to any disciplinary action or investigation by a church or other religious organization? *

Yes

Do you have any health concerns or physical conditions that could impact your ability to perform certain activities for this volunteer position? *

ie. Lifting children, playing sports, sitting on the floor, etc.

If you have answered "Yes" to any of the questions above, please explain.

References

Please provide the names of two non-related individuals who could provide a reference for you.

Reference 1 Name: *

Please include their first and last name.

Reference 1 Email: *

Reference 1 Relationship to Applicant: *

Reference 1: How long have you known this person? *

Reference 2 Name: *

Please include their first and last name.

Reference 2 Email: *

Reference 2 Relationship to Applicant: *

Reference 2: How long have you known this person? *

Release of information

By checking the boxes below, I am indicating my agreement and understanding of the information provided.

I recognize St. Albert Alliance Church is dependent on the information in this application. Accordingly, I confirm that all information I have provided is accurate, to the best of my ability.

I authorize any references listed here to give St. Albert Alliance Church any information they may have regarding my character and fitness to work with children.

I grant St. Albert Alliance Church permission to performa a criminal record check and an intervention record check on me.

I understand that if my character or morals should be inappropriate and/or criminal at any tine during my volunteer service, St. Albert Alliance Church will be entitled to terminate my assistance without expressed cause or prior notice.

If I determine that for any reason I am unable to support, adhere to or follow policies, procedures or the statement of faith of St. Albert Alliance Church, I will contact Church leadership and resign my volunteer position.

I acknowledge that, to the best of my knowledge, the information contained in this Volunteer Application form is true and correct.

I agree with the release of information statement above. *

Yes

Please type your first and last name to authorize your electronic signature. *

Date Signed *

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St Albert Alliance Church
intouch@staalliance.org
780-458-5335