Volunteer Ministry Application

Name*
First Last
Sex*
- Male
- Femle
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone
Cell Phone
Work Phone
Email
Date of Birth*
Social Security Number
Needed if serving in Children's, Youth and/or Guest Services.
Status*
- Single
- Married
- Divorced
- Separated
- Widowed
Spouce's Name*
First Last
Anniversary Date*
Number of Children
Maiden Name
Or other names you’ve gone by
Present Employer
Occupation
May we call you at work?
- Yes
- No
Personal References*
One of each: Pastoral, Professional and Personal if possible.
1. Name / Relationship / Home Phone / Work Phone 2. Name / Relationship / Home Phone / Work Phone 3. Name / Relationship / Home Phone / Work Phone

Have you ever filled out a New Destiny Worship Center volunteer application?*
- Yes
- No
For which department area(s) and when?*
Have you ever been involved in Volunteer Ministry?*
- Yes
- No
In what areas of Volunteer Ministry have you been involved and with what church organization?*

Are you a member of our church?*
- Yes
- No
Do you regularly attend our church?*
- Yes
- No
How long have you attended?*
List other churches you have attended regularly during the last five years.*
Church Name / Dates Attended / City / State / Pastor / Reason for Leaving
Church Name: Dates Attended: City: State: Pastor: Reason For Leaving: __________________________________ Church Name: Dates Attended: City: State: Pastor: Reason For Leaving:

Do you have any limitations or conditions preventing you from performing certain types of activities relating to Volunteer Ministries?*
Please Explain:*
Do you presently have any communicable diseases (including HIV or AIDS)?*
Please Explain:*
Are you recently seprated or divorced, or currently in an unmarried living arrangement?*
Please Explain:*
Have you been involved in homosexual activity within the last five years?*
Have you ever been accused of and/or convicted of spousal abuse in any form?*
Have you ever been accused of and/or convicted of spousal abuse in any form?*
Please Explain:*
Have you ever been accused of and/or convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor?*
Please Explain:*
Do you currently use tobacco?*
Please Explain:*
Do you currently use illegal drugs?*
Do you currently view pornography?*

The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give New Destiny and its representatives any information they may have regarding my character and fitness for Volunteer Ministry. I release all references from liability for any damage that may result from furnishing such evaluations, and I waive any right that I have to inspect the references provided on my behalf. Should my application be accepted, I agree to be bound by the constitution, by-laws, and policies of New Destiny Worship Center and to refrain from unscriptural conduct. I have read and agree to the Confidential Background Verification Report Policy and the Volunteer Policy. I understand that it is my responsibility to seek clarity should I need it. I agree to respect and abide by these policies, and that my failure to do so will give and its representatives the right to limit my involvement with volunteer ministry.
I agree with the above statement:
- Yes
- No
Signature
First Middle Last Suffix
Date Submitted