2025 Covenant Waves Volunteer Application

Title

Full Name (1st, middle, last)

This address will receive a confirmation email

Address

Phone

Date of Birth (required for background check)

Section A: Specific Information for Covenant Waves

I would like to buy a staff t-shirt ($12):

Yes No

Shirt Size

Any food allergies (for Covenant Waves staff snacks):

Please let us know of any constraints affecting the role in which you serve, any preferences for the above roles, or your availability. If none, please put N/A.

I will need childcare for my PreK (or younger) children:

Yes No

Childcare Information:

Please fill out the following fields if you checked 'yes' above.

Child's Name and Age

Food allergies, pertinent medical information and anything else childcare workers need to know about your child.

Child's Name and Age

Food allergies, pertinent medical information and anything else childcare workers need to know about your child.

Section B: Child Safety Disclosure

(any 'yes' answers do NOT automatically preclude you from being able to volunteer)

Do you addictively or excessively use alcohol?

Yes No

Do you illegally use drugs or a controlled substance?

Yes No

Do you use pornography in any form?

Yes No

Have you ever been found guilty of a criminal offense?

Yes No

Have you entered a plea of no contest or guilty to a criminal offense?

Yes No

Has your driver's license ever been suspended or revoked?

Yes No

Has any court ever determined that you have committed abuse against a child?

Yes No

Have you ever been charged with child abuse, neglect, or sexual misconduct with a child?

Yes No

Have you ever been disciplined in or discharged from any paid or volunteer position because of a complaint made against you involving child abuse or sexual misconduct with a child?

Yes No

Have you ever had a restraining order taken out against you?

Yes No

Has there been alcohol abuse, drug abuse, or physical or sexual abuse in your family background?

Yes No

Is there any fact or circumstance involving you or your background that would call into question you being entrusted with the supervision, guidance, and care of children?

Yes No

Do you have any physical, mental, or medical limitations that would hinder or interfere with you performing any kind of work or ministry?

Yes No

If you answered Yes to any of the above questions, please explain here (if all No answers, type NA):

I would like to talk with a pastor or ministry leader about the above information. Yes No

Applicant's Statement and Agreement

Read the following carefully before signing this application. I voluntarily give Covenant Church the right to make a thorough investigation of my past, including, but not limited to, employment, schooling and activities and agree to cooperate in such investigation, and release from all liability or responsibility all persons, schools, companies, or corporations supplying and collecting such information.

In typing my FULLname (1st, last, middle) here, I agree I am signing this application, affirming the information I have given is true and correct. I understand I may request a complete and accurate disclosure of the nature and scope of any background verification.

Description

We take our moral and legal responsibility seriously to ensure the physical, emotional and mental safety and well-being of any children under our care, to the best of our ability.

In our effort to provide a safe environment for the children and volunteers at Covenant, we need all volunteers to complete this form.

Unfortunately, you cannot save this form and complete it later. An uncompleted form will delay the volunteer application process.

2025 Covenant Waves Volunteer Application

Description

Please Fix the Following