NGM Volunteer Application
NGM Volunteer Application
NGM Volunteer Application
Generation
Ministries
Volunteer
Application
1. Applicants Information
First Name:
Initial:
Address:
City:
Email Address:
Last Name:
Zip Code:
Cell Phone:
Facebook:
Date of Birth:
Church:
Grade (Fall):
T-Shirt Size: S M L XL
2. Church Information
Name of Current Church
Does your church offer formal membership (i.e. membership class, public declaration)? Yes No
If your church offers membership, are you a member?
Yes. I have been a member for
year(s).
No, I am not. But I have attended the church for
years(s).
If your church does not offer membership, how long have you attended?
year(s).
Who is the pastor/youth director/elder/lay leader in charge over your spiritual care? We will be contacting this
person to verify your standing in your church.
Name:
Cell:
E-mail
4. Personal Information
1. Have you ever been convicted of a criminal offense?
Yes
No
2. Have you ever been convicted of, plead guilty to; are there
any charges or an investigation pending or disciplinary action
taken for any of the following? Child abuse, neglect, abduction,
molestation, any other sexual offense or misconduct.
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If necessary, please explain briefly. We understand the life-changing power of Jesus Christ and are
eager to hear how He has helped you.
I certify that all the information provided in this application is true and complete. I understand that any false information or
omission may disqualify me from further consideration and may result in my removal if discovered at a later date.
Signature
Date
5. Liability Release
I (being 18 years of age or older) understand that in the event medical intervention is needed, I hereby
authorize an adult leader to consent to the physician or dentist selected by the adult leader to hospitalize, to
secure medical treatment and/or to order an injection, anesthesia, X-rays, or surgery on my behalf as deemed
necessary. Furthermore I hereby give an adult leader with Next Generation Ministries/Korean Southeastern
Presbytery consent for Emergency Medical Services (911) to be contacted in the event of a medical
emergency.
I give consent to NGM/KSEP for transportation on my behalf by ambulance if deemed necessary. I further
understand that my insurance coverage will be used as primary coverage in the event medical intervention is
needed.
I understand all reasonably safety precautions will be taken at all times by NGM/KSEP and its agents. I
understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold
NGM/KSEP, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries
incurred by myself.
(I have read the foregoing and agree to the terms established on this form)
_______________________________________
Volunteers Signature:
_____________________________
Date:
6. References
Please provide name and phone # of two adult references (No family and not including pastoral).
Name
Phone
Relationship
Length of Relationship