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Xtreme Kids Youth Leader Application Form

Thank you for joining the StAAC Youth Leader team! It is a gift to partner with you in creating a welcoming, accepting, safe environment where youth can come to know, love, and serve Jesus. It is an amazing adventure with eternal rewards.

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 taking the safety and protection of our youth a high priority!

Please click HERE to read our Statement of Faith.

Your name *

Last name

Email address *

Phone number *

Phone type

Household members

Please add both Parent's names and contact information.

My Parent/Guardian has given me permission to volunteer. *

Yes

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)

Buddy Support (one on one with kids)

Time Preference: *

Sunday 9:00AM

Sunday 11:00AM

Spiritual History

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

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

What interests you in working with youth? *

Do you regularly attend Merge/Reach 2 or more times/month? *

Yes

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? *

Do you have any areas of concern working with children? If yes, please explain.

References

List two adults that you’ve known for at least one year who could provide a reference for you. You may include one relative, other suggestions might be a youth pastor, teacher, or employer.

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 that St. Albert Alliance Church is dependent on the information in this application. Accordingly, I confirm that all the 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 perform 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 time 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

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

Signature of Parent or Guardian: 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