Annual Volunteer Agreement - New Anthem Community Church

Your name *

Email address *

What is today's date? *

Changes to Your Information

Please enter any changes to your phone number or address since the last time you filled out an Annual Volunteer Agreement.

Phone Number

Address

Only one Volunteer Agreement is required per year for anyone serving. If you fill out an application for one area of ministry, this will cover you for serving in another area. In which area(s) do you plan to serve? Check all that apply

Rhythm Kidz

Youth Group (7th-12th)

Childcare (for Bible studies or other events)

Summer Quest

Other

Life, Faith & Church

By God's strength, I commit to live by spiritual principles that please God and to make choices that set a positive example, especially in the areas of drugs, alcohol, choice of entertainment and sexual purity (including abstinence until marriage). *

See Ephesians 4:17-5:21 & I Corinthians 10:23-11:1

Yes

Are you willing to teach according to New Anthem Community Church's Statement of Faith? *

A copy of our Statement of Faith from our church is available here: https://www.newanthemchurch.com/what-we-believe

What are you currently doing to maintain and grow in your spiritual life with Christ? *

Pornography & Abuse

The following questions are for the purpose of providing a safe environment for our children & youth. Your answers are held strictly in confidence.

Since your last Volunteer Agreement, have you been convicted of, or treated for, any form of substance abuse? *

Yes

Since your last Volunteer Agreement, have you been accused or convicted of any form of child abuse, pornography, child molestation, domestic violence, or any other crime or sexually-related crime? *

Yes

Since your last Volunteer Agreement, have you viewed pornography? *

Yes

Since your last Volunteer Agreement, have you viewed child pornography? *

Yes

Since your last Volunteer Agreement, have you been arrested for a criminal offense EXCLUDING minor traffic violations? *

Yes

Since your last Volunteer Agreement, have you been reported to a social services agency, law enforcement authority, child abuse registry, or similar organization regarding abuse or misconduct involving children? *

Yes

If you answered "YES" to any of the above group of questions, please explain in the space provided. If you marked "NO" for all questions, please answer with "N/A". *

New Anthem Community Church Child Protection Guidelines

We want to continue to make New Anthem Community Church a safe place for every child and youth. Therefore, the following guidelines have been established and are to be followed by every individual who serves in Our Rhythm Kidz Ministry. Please mark "YES" for each guideline to show you have read it and are in agreement with it.

All workers must complete a Volunteer Application (or an Annual Volunteer Agreement) and be approved by a ministry staff memeber of New Anthem Community Church. *

There should be a minimum of 1 adult and 1 youth volunteer in any room with children. *

There should be a minimum of 1 adult and 1 youth volunteer in any room with children. If it is momentarily necessary that only one volunteer be in a room with children, the door of that room shall remain open or have a window that will allow others to look in.

It is recommended that in the classroom for families ministering together, doors should be left slightly open or have a window that will allow others to look in. *

When taking children to the restroom, volunteers should only monitor the restoom to assist a child when absolutely necessary and must keep the outside door slightly open. *

If a private conversation needs to take place between volunteer and child/youth for things such as salvation, use walky talky to inform Rhythm Kidz Directors as this is an exciting step in faith! *

If a teacher or leader desires to meet with a child or youth individually at church outside of the normal ministry programming, he/she should receive specific permission from the parent. The meeting should be in a public place within the church building. *

All children, 3rd grade of age and younger, should be dropped off by a parent/guardian. Parents/guardians must also pick up the children and give their security tags to check-in desk. *

If another person is to pick up a child, the parent/guardian must ask check in to put them on family account, so they can follow proper security procedures.

Procedures for emergency situations (fire, tornado, etc.) are posted and should be reviewed for planning route of escape to safety. Basic first aid kits are available in the Sunday school rooms as well as in the resource room. *

Contact a parent when an injury occurs, report it to the ministry leader in charge, and complete an incident report form for any accident.

A worker will report any suspected or known child abuse to the director of children's ministry or a pastor of New Anthem Community Church. *

Church leaders must pre-approve off-site activities. Parental consent forms are requird for each child participating. *

Your Agreement *

The response I have provided in this application form are complete, truthful, and accurate to the best of my knowledge.

I understand that New Anthem Community Church will require a background check once every 4 years. I hereby authorize New Anthem Community Church and its representatives to make inquiries concerning my background in connection with evaluating information I have provided on this application form and in the application process, which may include checking references, a consumer or investigative consumer report, a driving history (including any traffic citations), a social security number verification, present and former address, a criminal and civil history/records check and request from any central registry of child abusers to be generated for volunteer and/or employment purposes.

I hereby authorize all persons associated with me, including churches, employers, law enforcement, licensing and social services agencies, to release any information contained in their files concerning me to New Anthem Community Church and its representatives and release New Anthem Community Church and all others from liability in connection with the same.

I commit myself to the ministry of New Anthem Community Church. I affirm that I will comply with all policies and procedures of New Anthem Community Church.

I understand my information will be reviewed by a representative of New Anthem Community Church, who may contact me for further information as needed, and who may consult pastoral staff in strictest confidence only as needed. I am entitled to a complete copy of any background information report of which I am subject up my request to New Anthem Community Church, if such is made within a reasonable time from the date it was produced.

I have completed the volunteer agreement and answered truthfully to the best of my knowledge. *