LCPC Youth Ministry

Name * First Last
Date * MM / DD / YYYY
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Number * ### - ### - ####
PERSONAL AND SPIRITUAL HISTORY
Write a brief testimony about how you came to know Christ; include significant events & time periods when applicable. *
How would describe your relationship with Christ now? *
What accountability do you currently have in your spiritual journey (i.e. Are you in a small group? Is there someone you talk with on a regular basis about your relationship with God?) *
What do you do when you have conflict with someone? How do you handle confrontation? *
Are there any special issues or concerns happening in your life right now that would have an impact in your commitment and involvement in the youth ministry? (i.e. relationships, other volunteer commitments, etc…) *
In caring for students, we believe it is our responsibility to see that an adult volunteer is able to provide healthy, safe, and nurturing relationships. Often, issues of a person’s past become relevant when working with adolescents. These will not be used as a means to judge you or put you on the spot. We all have issues in our past. It is important however to discuss these issues up front so we are all starting on the same page. Please answer the following questions accordingly. Any special concerns can be discussed individually with the pastoral staff.
Are you using illegal drugs? *
Yes No
Have you ever gone through treatment for alcohol or drug abuse? *
Yes No
If Yes, please describe what happened and your attitudes on it now.
What is your view on drinking alcohol? *
Have you ever been accused, arrested and/or convicted of child abuse or a crime involving actual or attempted sexual assault of a minor? *
Yes No
Have you ever been arrested? *
Yes No
Have you ever been convicted of any felony criminal charges? *
Yes No
Have you ever been a victim of any form of child abuse?
Yes No

Answering “yes” or failing to answer will not automatically disqualify you as an applicant for youth work. Again, as personal a topic as this is, we believe it to be important to discuss past history.
If so, would you like to speak to a counselor or pastor?
Yes No

Answering “yes” or failing to answer will not automatically disqualify you as an applicant for youth work. Again, as personal a topic as this is, we believe it to be important to discuss past history.
Have you ever had sexual relations with any minor after you became an adult? *
Yes No
Are you willing to be fingerprinted for State Criminal Conviction Clearing? *
Yes No
Is there any other past history or involvement that is noteworthy and would be important to discuss. (Our main desire is to discuss issues that could be raised during possible student discussions and to come to a mutual understanding in terms of the church’s and your stance on it.) Possible history could include: Premarital sex, Emotional or Physical Abuse, Tobacco use, Homosexuality, Cults or witchcraft
CHURCH HISTORY
Do you attend LCPC? *
Yes No
Are you a member? *
Yes No
What spiritual gifts to you feel you have, and how would you like to use them in youth ministry? *
Why do you want to work with youth in our ministry? *
The information contained in this application is correct to the best of my knowledge. I give my authorization to La Canada Presbyterian Church or its representatives to release any and all recorded information related to working with minors. La Canada Presbyterian Church may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability as a youth worker. I understand that the personal information in this application will be held confidential by the professional church staff.
I have read and understand the previous paragraph, and by checking "Yes" give my approval. *
Yes No
Do Not Fill This Out

LCPC Youth Ministry

PERSONAL AND SPIRITUAL HISTORY

CHURCH HISTORY