Background Check

All volunteers who serve in a ministry with kids/students are required to complete a background check before serving.

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Benevolence Request

OPEN FORM

Kid’s Hope Mentor

Kid's Hope Mentor

Name:

First Name

Last Name

Email:

Phone:

(###)

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Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

If you have lived at your current address less than seven years, please provide information on all addresses during that period:

List all other names by which you have ever been known:

Date of birth:

MM

DD

YYYY

Driver's license #:

This is for background check purposes.

Length of membership/attendance at Bachelor Creek.

T-shirt size:

Emergency contact name:

Relationship to emergency contact:

Emergency contact phone #:

(###)

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Are you 18 years of age or older?

Yes

No

Have you ever been convicted of, pled guilty to, or pled no contest to a crime other than a minor traffic violation?

Yes

No

If you answered "Yes" to the previous question, please explain:

References

List at least two references from places of employment or prior volunteer service, especially concerning previous work with youth. References must meet the following criteria: must be over age 18; must not be a relative; must have known you for at least one year.

Reference #1 Name:

How do you know this person?

Length of time you've known this person?

Reference #1 Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference #1 Phone #:

(###)

###

####

Reference #1 Email Address:

Reference #2 Name:

How do you know this person?

Length of time you've known this person?

Reference #2 Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference #2 Phone Number:

(###)

###

####

Reference #2 Email Address:

If you have someone in mind to be your Prayer Partner, please list them here:

What is your availability throughout the week?

List days (M-F) and times in the box below.

Please list previous volunteer activities:

Digital Signature of Applicant (please type your name to verify your Volunteer Pledge):

Volunteer Pledge: If I am assigned as a school volunteer, I accept the responsibility to serve in support of the educational program and supplement the work of the professional staff under their guidance. I understand that it is important to be reliable, channel suggestions constructively, keep information confidential, and comply with school rules. As a member or regular attendee of this church, I agree to be accountable to the leadership of this church regarding my Christian life and witnesses according to the biblical witness of this church and in all aspects of conduct and performance related to this volunteer position. I hereby represent and warrant that the information contained in this application is correct and complete to the best of my knowledge. I authorize any references, or any other person or organization, whether or not identified in this application, to give you any information (including opinions) regarding my character and fitness for volunteer service. I understand that a very positive benefit, when working with children, is the relationship developed between the volunteer and child. I take seriously the relationship that will be formed. I agree to a criminal history check (national and/or state level). My signature on this form authorizes you to make such checks and to disclose results to both church and school personnel as part of the KIDS HOPE USA program.

Today's Date

MM

DD

YYYY

Kid’s Hope Prayer Partner

Kid's Hope Prayer Partner

Name

First Name

Last Name

Phone

(###)

###

####

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I will be a prayer partner for this mentor:

Please list previous volunteer activities:

I release the rights for Kid's Hope to use photos of me for promotional purposes.

For promotional purposes, videos and photographs may be taken during Kids Hope events. Occasionally, a photo of you may be shared with the KHUSA National Office to appear in the volunteer newsletter called Voices of Hope. Your application and digital signature also constitutes permission for your email address to be added to the distribution lists for Voices of Hope and Story of the Week.

Yes

No

I accept the Prayer Partner pledge below:

If I am assigned as a Prayer Partner, I accept the responsibility to serve in support of the educational program and honor the separation of church and state boundaries. I understand that it is important to be reliable, channel suggestions constructively, keep information confidential, and comply with school rules. As a member or regular attendee of this church, I agree to be accountable to the leadership of this church regarding my Christian life and witness according to the biblical teaching of this church and in all aspects of conduct and performance related to this volunteer position.

Yes

No

Digital Signature of Applicant (please type your name to verify your Prayer Partner Pledge):

Ladies’ Fellowship Form

Ladies' Fellowship Form

Name

First Name

Last Name

Email

Phone

(###)

###

####

I am interested in...

Providing food for meals (side dish, main dish, drinks, etc.)

Volunteering (cooking/serving meals, clean-up, etc.)

Women’s Mentorship

Women's Mentorship

Name

First Name

Last Name

Phone

(###)

###

####

Email

I am interested in...

Becoming a Mentor Getting a Mentor

Option One

Option Two

Ministry Event Request (MER)

Parent Medical Release Form

Open Form

Facilities Use Request Form

Open Form

Forms

Background Check

Benevolence Request

Kid’s Hope Mentor

Kid’s Hope Prayer Partner

Ladies’ Fellowship Form

Women’s Mentorship

Ministry Event Request (MER)

Parent Medical Release Form

Facilities Use Request Form

Have questions? Need to get in touch with us? We’re here for you!