WMBC Parent Volunteer Application

Thanks for helping out in Kids Groups! We so appreciate your willingness to serve and love on kids!

This form is something we ask every parent working with kids to complete and only needs to be done once a year. We want to continue doing everything we can to ensure that the kids who come through our doors stay safe and these questions are part of helping make that happen. Feel free to reach out to a staff member with any questions you might have about this form. Answering "yes" to any of these questions may not limit your opportunity to be involved with kids. Thanks for your time!

Name

Mobile

Do you have a relationship with God?

Yes No I'm not sure

Have you been attending for 6 mths or more?

yes no

Are there any circumstances involving your lifestyle or history that could call into question your ability to work safely with kids? (eg. Use of illegal substances, history of abuse, outbursts of anger, high alcohol consumption, etc.)

Yes No

Have you ever been arrested, convicted or pleaded guilty to a crime?

Yes No

If you answered yes to the above, please state the reason

Have you ever committed an act of sexual misconduct involving kids or a vulnerable person? This also includes being in possession of or viewing child pornography.

Yes No

Do you have any traits, tendencies, or emotional, psychiatric, or mental struggles that could pose any threat to kids, teens or others?

Is there any other information we should know about you that may cause concern or create questions about your character?

Release of information and declaration of intent

I recognize that the WMBC is relying on the information contained herin. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct. I agree to abide by all the policies and procedures of WMBC and to protect the health and safety of kids at all times.

By entering my name, I am indicating my acceptance and delivery of this information and commit to help protect the health and safety of kids at all times.

Date

WMBC Parent Volunteer Application

Description

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