Phone number *
Phone type Mobile Home Work Other
Indicate the age(s) you are interested in serving with *
Are you willing to be a teacher, assistant, or either? *
Select… Teacher Assistant Either
Are you a member of a church? *
Are you currently involved in a small group? *
Give a general summary of ministries and/or community service you have been involved with in the past 5 years. *
What are some qualities and gifts that you feel God has given you to enable you to minister effectively to children? *
APPLICANT’S STATEMENT *
By checking below, I verify that: *to the best of my knowledge, the information contained in this application is correct. If in the evaluation of this form, it would be considered advisable to secure additional input from the church (es) listed, I hereby authorize such action; *there is no reason that it is advisable for me to abstain from working with minors; *I have read the Kid’s Track Volunteer Handbook; and *I understand that if I am 18 years or older, I will need to complete the PA Child Abuse Clearance, State Police Criminal Background Check, and FBI fingerprint Report/sign waver before I am eligible to volunteer. (Joy Smith will send directions on submitting for these clearances after your application has been approved.)
Submit