Last Name (Maiden Name)First Namemiddle Name

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

Thank you for your willingness to serve in Youth Impact. Providing children with a safe place and solid spiritual foundation is of utmost importance. The purpose of this application process is to ensure that our children and youth are safe and secure. We want to be confident that we are doing all we can to provide such an environment. The contents of this application will be kept confidential.

Section 1: Personal Information

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Last Name (Maiden Name)First NameMiddle Name

What name do you go by? ______

E-Mail Address: ______

Present Address: ______

City: ______Zip Code:

Work Phone: _ Local Phone: ___Cell Phone: ______

(For College Students):

Permanent Address: ______City: ______

State: ______Zip Code: Phone: ______

Date of Birth: ______Place of Birth: ______

Circle One:MarriedSingle|MaleFemale

1. Ministry and position applying for:

2. Have you ever worked with any of our children’s ministries before? If yes, which one(s) and when?

YES / NO ______

3. When can you start?

4. How are you affiliated with GraceBibleChurch?

a. MEMBER, provide date of membership: ______

b. REGULAR ATTENDER, for how long: ______

c. MEMBER/ATTENDER OF ANOTHER CHURCH: ______

5. List the last two churches you have attended, and if applicable, identify any service you performed at these churches.

City, StateChurchService ______

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6a. List the last three jobs you have held. Include approximate dates, organization names and addresses, type of work you performed, name of supervisor and phone number. (Attach a separate page if necessary.)

DateOrganizationType of WorkSupervisor's NamePhone

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6b. List the three most recent non-church work, volunteer or paid, involving children or youth. Include approximate dates, organization names and addresses, type of work you performed, name of supervisor and phone number (if known). (Attach a separate page if necessary.)

DateOrganizationType of WorkSupervisor's NamePhone

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7. How do you consider yourself to be a positive role model for children or youth? _____

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References

Please provide the name, email address, and phone numbers of at least three personal references not related to you.

NameEmail Address Only

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1.

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2.

3.

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4.

9. List any gifts, callings, training, education, or other factors, which have prepared you for working with children/youth:

10. We also ask that you inform us if you have ever been a victim of child abuse. Rather than including the information on this application, we ask that you provide the information to a Minister or to the Director of Youth Impact. A verbally given, brief description, including the approximate time period and the impact that it had on your life is all the information that is needed, unless you desire to give more. Please understand that your disclosure of this information will not disqualify you from service, and your confidentiality will be respected and is appreciated.

The information contained in this application is correct to the best of my knowledge. I authorize the Church to obtain information from the references, employers and churches that I have listed. I also authorize any reference churches, or other organizations or employers listed in this application to provide you with any information, including opinions, which they may have regarding my character and fitness for children/youth work. In consideration of the receipt and evaluation of this application by the Church, I hereby release any individual, church, children/youth organization, charity, employer, reference, or any other person or organization, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply, with this authorization.

Should my application be accepted, I agree to be bound by the Bylaws and Policies of the Church, which are adapted from time to time, and to refrain from unscriptural conduct in the performance of my services on behalf of the Church. I have been apprised of, understand and support the Church's position on the problem of child abuse. By my signature below, I also acknowledge that I have received a copy of the Grace Kids Policies Procedures and Best Practices Manual.

I understand that the Church desires to protect its children and therefore give my permission for the Church leadership to conduct a criminal background check on me and to maintain my photo ID on file.

I further state that I have carefully read the foregoing release and know its contents; and sign this release as my own free act. I understand that any misrepresentation or omission of a material fact on my application may be justification for refusal of employment or acceptance of my service as a volunteer (collectively, the "engagement").

In the event I am engaged, I understand that all employees/volunteers are subject to termination at the discretion of the Church. If, in the event I choose to voluntarily terminate my employment/service, I am free to do so at any time, and if I choose to give notice of termination, the Church may either permit me to continue my employment/service during the notice period or may accept my resignation immediately.

I understand that, in the event the Church accepts me for engagement, my compensation (if any), hours of service and all other terms and conditions of engagement are subject to modification or change by the Church at the Church's discretion.

I understand that, if engaged, any misrepresentation made by me in completing this application shall be considered as sufficient cause for my dismissal without advance notice.

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Applicant's SignatureDate

Section 2: Doctrinal Agreement

The doctrinal position of GBC is as follows, please note that your agreement to teach this position is very relevant to working with our youth. If for any reason you feel that you are not in agreement with this position, please feel free to call and discuss with our personnel department.

• We believe the Bible to be the verbally inspired Word of God and the supreme and final authority in doctrine and practice (II Tim. 3:16-17; II Pet. 1:21; John 17:17). Scriptural truth is not subjective or a matter of opinion (II Pet. 1:20). Ultimately, its reliability rests on the promises of God that it is powerful, will endure, and will accomplish what God pleases (Is. 40:8, 55:11; Mtt. 5:18; Heb. 4:12).

• We believe in on God eternally existing in three equal persons – Father, Son and Holy Spirit, who have the same nature and attributes, but who are distinct in office and activity (Mtt. 28:19; II Cor. 13:14). God is immutable (Ps. 90:2); eternal (Ps. 102:26, 27); omnipotent (Ps. 115:3); omnipresent (Ps. 139:7-12); omniscient (Ps. 147:5); and too holy to look upon sin (Hab. 1:13), yet not wishing that any should perish (II Pet. 3:9). He is the Lord of history declaring the end from the beginning (Is. 46:10) and working all things according to the counsel of His will (Eph. 1:11).

• We believe that the Lord Jesus Christ, the eternal Son of God, became man without ceasing to be God, having been conceived of the Holy Spirit and born of the virgin Mary, in order that He might reveal God and redeem sinful man (Jn. 1:1, 14, 18; Lk. 1:35). We believe that He accomplished our redemption through His death on the cross as a substitutionary sacrifice. We believe that our redemption and salvation are guaranteed by His literal physical resurrection from the dead (Rom. 3:24-26, 4:25).

• We believe that the Lord Jesus Christ is now in heaven, where as High Priest He fulfills the ministry of intercession and advocacy for His people (Heb. 1:3, 3:1, 7:23-25; I Jn. 2:1-2)

• We believe that God the Holy Spirit is a person who restrains evil in the world and convicts man of sin. He also regenerates those who receive Christ as Savior, baptizes them into the church, the Body of Christ, indwells them permanently, seals them unto the day of redemption, bestows spiritual gifts on each one, and fills those yielded to Him (Jn. 3:5-8, 14:16-17, 16:7-11; I Cor. 12:4-11, 13; Eph. 4:30, 5:18).

• We believe that some gifts of the Holy Spirit, such as speaking in tongues, miracles, and healings were given in the early church as signs authenticating the gospel message (I Cor. 14:22-24; Heb. 2:4). The same scriptural purposes apply to and limit their practice today (they are not for “personal blessing,” authenticating salvation, or other extra-biblical purposes). Therefore, we believe that they are not normative today, in an established local church context (being manifest primarily in “missionary contexts”). We do believe, however, that in all contexts, God answers prayer for the healing of the sick in accordance with His will (I Jn. 5:14-15; James 5:15-16).

• We believe all things in heaven and earth were created by God and exist by His power (Gen. 1:1; Ps. 8:3; 19:1; Job 26:7; Is. 45:12; Jn. 1:3, 10; Col. 1:16-17). We believe that Satan was created as a perfect being until iniquity was found in him (Ez. 28:12-15) and that Satan is the origin of sin. We believe that man was created innocent in the image of God (Gen. 1:27) but that he was led into sin by Satan (Gen. 2:17; 3:6-19) and so death was spread to all men because all sinned (Rom. 5:12, 15, 19). Satan is still the god of this world (II Cor. 4:4) who with great power (I Pet. 5:8) is waging war against the saints (Eph. 6:11, 12) while blinding the lost (Eph. 4:18; II Cor. 4:4) and deceiving the nations (Rev. 20:10), but his doom is sure (Heb. 2:14; Rev. 20:10).

• Because of the fall, natural man is dead in trespasses and sin and incapable of understanding (Eph. 2:1; Rom. 3:11) and it is impossible for him to come to Christ unless the Father draws him (Jn. 6:44).

• We believe that salvation is a gift of God and is received by man through personal faith in Jesus Christ and His sacrifice for sin. We believe that man is justified by grace through faith apart from works (Acts 13:38-39; Rom. 6:23; Eph. 2:8-10; Titus 3:5). We believe that all true believers, once saved, are kept secure in Christ forever (Rom. 8:1, 38-39; Jn. 10:27-30) having been called according to His purpose & grace, which was given us in Christ before there was time (II Tim. 1:9).

• We believe that at salvation we are justified, declared righteous and set apart or sanctified on the basis of the finished work of Christ (Rom. 3:21-26; 4:5, 9, 22; II Cor. 5:21). Experientially, however, believers may be immature (Heb. 5:12-14). The faithful Christian’s life is characterized by a walk of faith (Rom. 14:23; II Cor. 5:7; Gal. 3:11; Heb. 11:6) in the Spirit (Gal. 5:16-18) toward the upward call of God in Christ Jesus (Phil. 3:14). Thus, we may be His disciples as we abide in His word (Jn. 8:31). Experiential sanctification (Eph. 4:7-15, 5:26, 27; I Thess. 5:23; II Tim. 2:21) or discipleship is not to be equated to the possession of eternal life. A disciple bears much fruit (Jn. 15:8) but, unfortunately, there are carnal believers (I Cor. 3:1) who not having the joy of faithfully abiding in Christ (Jn. 15:9-11; Gal. 5:22; Phil. 4:4-7) have not produced good fruit, but at the Judgment Seat of Christ they are saved, yet as through fire (I Cor. 3:11-15).

• We believe that the Church, the Body and Bride of Christ, is a spiritual organism, made up of all born-again persons of this present age. We believe that the Church began at Pentecost and that a believer is placed into the Church by the baptizing work of the Holy Spirit. We believe that the Church is distinct from Israel (Eph. 1:22-23; I Cor. 10:32, 12-13).

• We believe that the local church is an assembly of professed believers in Jesus Christ who are voluntarily joined together in one locality for the purposes of worship, study of the Word of God, observance of the ordinances, Christian fellowship, and to be equipped for Christian service (Acts 2:42-47; I Cor. 1:1-2; Eph. 4:11-13).

• We believe that Christ instituted the ordinances of water baptism and the Lord’s Supper, which are to be observed by believers until He returns (Mtt. 28:19-20; I Cor. 11:23-26).

• We believe that water baptism is a picture of our identity with Christ in His death and resurrection. It depicts the death of the old man and new birth in newness of life and thus is for believers only (Rom. 6:3-6; I Pet. 3:21). This precludes infant baptism.

• We believe that the Lord’s Supper is a memorial of Christ’s death, the elements being symbols of His body and blood. We believe that every Christian has a right to partake of the elements of the Lord’s Supper but that participation must always be preceded by solemn self-examination (I Cor. 11:23-29).

• We believe in the pre-millennial return of Christ followed by the Judgment of the Nations and the establishment of His kingdom (Rev. 20:1-6; Mtt. 25:31-46). At this time all Israel will be saved (Rom. 11:25-27). There is a resurrection of the believing dead (Rev. 20:4) and Christ will reign on the throne of David over Israel and the nations (II Sam. 7:16; Ps. 89:3, 4, 34-37; Is. 9:7; Zech. 14:9, 16, 17; Ez. 37:14, 21-28; Lk. 1:32-33) through the Church (Lk. 22:30 II Tim. 2:12; Rev. 20:6). We believe that all believers will appear at the Judgment Seat of Christ to answer for what they have done in the flesh (II Cor. 5:10), but as all have trusted Christ, none are lost (I Cor. 3:10-15). The unbelieving dead are resurrected following the millennium and Judged at the Great White Throne (Rev. 20:7, 11-15, 21:8) and condemned to the lake of fire.

I have read the GraceBibleChurch Doctrinal Statement and stand in agreement with it.

I promise to support to support the doctrinal position of GBC in my teaching and to actively promote doctrinal unity within the church.

I will take the GBC Membership Class or make alternative arrangements within one year of signing this document. (College students are excluded from this membership requirement.)

SignatureDate

Section 3: Background Check

GRACEBIBLECHURCH

CONSENT TO PERFORM A HISTORY/BACKGROUND CHECK

IN COMPLIANCE WITH THE FCRA (FAIR CREDIT REPORTING ACT)

Last Name / First Name / Middle Name or Initial
Maiden or other name(s) used in any and all other records of birth or records of residence.
Address / Apartment or #
City / County / State / Zip
- -
Date of Birth / Social Security Number / Drivers License Number / State of Issue

I, ______, am an applicant for employment and/or volunteer service with GRACEBIBLECHURCH. As a part of the application process I have been advised that the church conducts a criminal history check that may include a credit report and or motor vehicle report. I do hereby consent to the use of any and all information provided to the church in the application process to be used in the criminal history/background check.

The following are my responses to questions about my criminal history (if any).

1. YES / NO Have you ever been convicted or plead guilty before a court for any federal, state or municipal criminal offense? (Exclude minor traffic misdemeanors).

If yes, please provide details below.

State: / County: / Date of Offense: / /
Details of conviction: 1.
1.
1.

2. YES / NO Have you ever received deferred adjudication or similar disposition for any federal, state or municipal offense?

If yes, please provide details below.

State: / County: / Date of Offense:
Details of offense: 1.
1.
1.

3. YES / NO Have you ever received probation or community supervision for any federal, state or municipal offense?

If yes, please provide details below.

State: / County: / Date of Offense:
Details of supervision: 1.
1.
1.

4. YES / NO Have you ever been convicted of any criminal offense in a country outside the jurisdiction of the United States?

If yes, please provide details below.

Country: / City: / Date of Offense:
Details of conviction: 1.
1.
1.

THIS SECTION IS TO BE USED TO LISTALLCOUNTIES AND STATES OF RESIDENCE IN THE LAST 10 YEARS.

CITY/TOWN COUNTY STATE YEARS LIVED

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I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED IN THIS CONSENT FORM IS TRUE, CORRECT AND COMPLETE. IF ANY INFORMATION PROVES TO BE INCORRECT OR INCOMPLETE I UNDERSTAND THAT GROUNDS FOR CANCELING OF ANY AND ALL OFFERS OF EMPLOYMENT/ VOLUNTEER SERVICE WILL EXIST AND MAY BE USED AT THE DISCRETION OF THE CHURCH.

Signed this ______day of______, 20______

APPLICANT (PRINT NAME) ______

Name: APPLICATION

YOUTH IMPACT LEADERSHIP SELECTION CRITERIA

The following is a list of requirements that must be evaluated for a person to be selected as a leader/director of youth impact. We realize that no one is perfect, but by the power of the Holy Spirit, we all have access to the righteousness of Christ.

1. The leader MUST have a clear understanding of the Gospel of Jesus Christ, and must have trusted Christ as his/ her personal Savior.
2. The leader must be in a Bible Study in which he/ she is receiving solid biblical training and discipleship. Furthermore, the leader must be committed to personal time with the Lord on a regular basis.
3. The leader must remain physically and sexually pure. He/ she should have an accountability structure with those he/ she is close to in order to keep from stumbling in this area. (1 Thessalonians 4:3-8)
4. The leader must confess his/ her sin to the Lord, as well as to others when appropriate, for the purpose of restoration and continued fellowship with Christ and the Body.
5. The leader must be able to work in harmony with others. He/ she must no be a person who consistently causes disputes or has “personality conflicts” with other people. (Phil. 2:1-4, Eph. 4:2-3)
6. The leader must be committed to excellence in whatever capacity he/ she is serving. This does not mean that he/ she spends every waking moment in the service of this postion, but it does mean that he/ she has heart for this particular postion.
7. The criteria for this position are essentially the same as those outlined for elders in 1 Timothy 3 and Titus 1. Leaders in Youth Impact must be above reproach in the community and have a good reputation. Therefore, it may be necessary to lay aside certain freedoms or privileges that those not leading might normally exercise. At any rate, the principle to be guided by is that we prize the reputation of Christ above our own personal freedom or enjoyment. This means that as leaders, we must be careful about the places we go and the company we keep.

Please use additional paper as needed.

SPIRITUAL LIFE & GROWTH______

Briefly describe how you came to have a personal relationship with Christ.

How would you currently describe your walk with Christ? If you could change one thing, what would it be?

MINISTRY EXPERIENCE & INTERESTS______

Please describe your current & previous involvement in ministry, both at GBC and elsewhere?

What is the importance or value of the position you are applying for

1)to the Youth Impact ministry?

2)to helping fulfill the Great Commission?

What do you believe are your particular spiritual gifts and/ or God-given talents that qualify you for leadership, and for this position in particular?