Volunteer Application

Name *

Preferred Name / Nickname

Birthdate *

Gender

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Marital Status

Address *

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Mobile Phone *

Home Phone

(optional)

Email *

Employer

Job Title

Home Church Information

Home Church

Pastor / Church Leader Name

Pastor / Church Leader Phone / Email

Years at current church

Faith and Ministry Background

Briefly describe your relationship with Jesus Christ and your current involvement in a local church: *

Why would you like to serve with Antwerp Youth Group? *

Describe previous experience with students, teaching, mentoring, worship, meals, administration, security, transportation, or other ministry roles: *

Availability and Interests

Select all that apply *

References

Name *

Relationship to you *

Phone / Email *

Suitability and Screening Acknowledgement

Please select all that apply:

I am at least 18 years old.

I am willing to complete the approved background-screening process and provide any required consent directly through the secure screening process.

I am willing to complete youth-safety training and follow AYG policies, including the two-adult rule and check-in/check-out procedures.

I have never been removed, suspended, or asked to resign from work or volunteer service involving minors because of misconduct or a safety concern.

I have no undisclosed circumstance that would make it inappropriate or unsafe for me to serve minors.

Confidential disclosures:

If you cannot affirm one of the above statements, please explain below. A disclosure does not automatically determine the final decision, but failure to disclose relevant information may disqualify an applicant.

Signature *common.clear

Full Name *

Date *

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