Complete and submit the application below if you are interested in volunteering on our Wednesday evening Kingdom Rangers volunteer team and we will get in touch with you soon. Background check and child safety training will be required.

Rangers meets weekly during the school year from 6:30-8pm on Wednesday nights. Volunteers are there from 6:15-8:15pm.

Personal Info

Complete Legal Name *

Email Address *

Cell Phone *

Cell Phone

(###)

###

####

Cell Phone Carrier *

Birthdate *

Birthdate

YYYY

Place of Birth *

Current Occupation *

Social Security Number *

Driver's License Number *

Driver's License State of Issue *

Do you have any medical training or are you CPR certified? If yes, explain. *

Marital Status *

Name of Spouse

Number of Children

Ages of Children

Address

Current Address *

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long have you been at this address? *

If less than one year, give previous address and number of years below.

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Years at this address

Faith and Experience

Do you have a personal relationship with Jesus Christ? *

Briefly describe when and how you became a follower of Christ *

How long have you been attending Vineyard Church of Baton Rouge? *

Check the services and groups you regularly attend. *

Sunday 9am

Sunday 11am

Vineyard Life Group

Which Life Group?

Check any of the following that you have attended.

Vineyard 101

Prayer Training

Vineyard Institute

What church (if any) did you previously attend (include city and state)?

What leadership / volunteer experience have you had with kids? List all previous work involving kids and youth.

List any skills, training, educations, or other factors that have prepared you to work with kids

References

3 local, personal references. Must be over 18 years old, not related to you, and one of opposite gender.

Reference 1

Name *

Name

First Name

Last Name

Phone Number *

Phone Number

(###)

###

####

What is your relationship with this person and how long have you known them? *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 2

Name *

Name

First Name

Last Name

Phone Number *

Phone Number

(###)

###

####

What is your relationship with this person and how long have you known them? *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 3

Name *

Name

First Name

Last Name

Phone Number *

Phone Number

(###)

###

####

What is your relationship with this person and how long have you known them? *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

The questions below are a part of the interview process in order to help provide a safe and secure environment for our kids. All information is held strictly confidential by our staff. Answering yes to a question may not necessarily preclude your involvement in Vineyard Kid's Ministry. Thank you for understanding.

Why do you want to work with children at Vineyard Church of Baton Rouge? *

Do you have any preference concerning the age group or sex of children or students whom you would like to work? Why? *

What is your philosophy concerning re-direction or discipline of children? *

Have you ever physically or sexually abused a child? *

Has someone ever accused you of abusing a child? *

Do you or have you ever used, obtained, produced, or distributed child pornography? *

Do you participate in any activities that could reflect questionable on your moral character? If so, what are they? *

With whom do you live? What is your relationship with them? *

Have you had any painful experiences in your life that have better equipped you for--or may hinder you from working with kids? *

Would you like to meet with a pastor regarding these experiences?

If yes to any of the above, please explain.

Applicant's Statement

The information contained in this application is true and correct to the best of my knowledge. By signing below, I authorize the Vineyard Kid's Director to make an independent investigation of my background, references, character, past employment, education, criminal or police records, including those by both public and private organizations, and all public records for the purpose of confirming the information contained on my application form, and/or obtaining other information which may be material to my qualifications for employment or as a volunteer now and during the tenure of my association with Vineyard Kid's Ministry. I release Vineyard Church of Baton Rouge and any person or entity that provides information pursuant to this authorization from any and all liabilities, claims, or lawsuits in regards to the information obtained from any and all of the above referenced sources used. *

Type you full name and the date as the signature.

Vineyard Kid's Ministry Statement

I understand that in the event of any accusation of child abuse or molestation made against me, Vineyard Church of Baton Rouge will notify the proper authorities of the accusation, will fully cooperate with authorities in such an investigation, and will, if deemed necessary, publicly publish or announce the results of such an investigation. Should my application be accepted, I agree to follow the policies of Vineyard of Baton Rouge and to refrain from any kind of unscriptural conduct that may affect my qualifications to serve on behalf of the church. I understand that the personal information will be held confidential by the church staff. *

Type you full name and the date as the signature.

Permission to Obtain a Background Check

I specifically authorize the church to undertake a criminal background check concerning my past. I understand and agree that any information received from the background check and application verification will not be disclosed to me, and I hereby waive any right I may have to inspect any information provided about me by any person or organization identified by me on this form. By signing this form, I verify and affirm that the information I have given on this form is true, complete and correct in all respects. *

Type you full name and the date as the signature.