St. Pete’s Kids Team Application

Full Name*

Phone*

Email*

Address*

Personal History

Occupation and/or Employer*

Hobbies, Interests, Skills*

List any gifts, training, education or other qualifications that have prepared you to minister with Children, Youth and Vulnerable Adults.*

Spiritual History

How long have you been part of St. Peter's Fireside?*

Less than 6 months
6 months to a year
More than a year

Do you regularly attend two or more services per month?*

Yes
No

Have you been baptized?*

Yes
No

If not, are you willing to attend a baptism class?

Yes
No
Does not apply

Spiritual Journey*

In a brief paragraph, please outline your spiritual journey (how you came to know Christ as Saviour and what you are currently doing to grow in your relationship with Him).

Previous Churches*

Please list churches you attended in the past five years, include the church name, address, phone number, years of attendance, and the nature of your involvement.

Confidential Information

In order to provide a safe and secure environment for our Children, Youth and Vulnerable Adults, we believe it is necessary to include the following questions as part of our application process. All information will be kept confidential by church leadership and the Plan to Protect® team. (Police may access this information, under warrant, if requested.) Answering yes to any of the questions may not necessarily preclude your involvement in ministry. Thank you in advance for your understanding.

Are there any circumstances involving your lifestyle or background that would call into question your ability to work with Children, Youth and Vulnerable Adults? (e.g. pornography, use of illegal substances, etc.)*

Yes
No

Have you ever been accused of impropriety with Children, Youth and Vulnerable Adults?*

Yes
No

Have you ever been convicted for the use or sale of illegal drugs?*

Yes
No

Have you ever been through treatment for alcohol or substance abuse?*

Yes
No

Have you ever been convicted of a criminal offense (excluding minor traffic violations)?*

Yes
No

Have you ever been arrested or convicted for any abuse related crimes?*

Yes
No

Have you been investigated by the Child Welfare Agency for suspected child abuse?*

Yes
No

Have you ever been the subject of a civil lawsuit involving sexual harassment or other immoral behaviour or conduct involving Children, Youth or Vulnerable Adults?*

Yes
No

Have you ever been the subject of any disciplinary action, transfer or dismissal, or been named as a defendant in a civil or criminal lawsuit as a result of an accident or mishap involving Children, Youth and Vulnerable Adults?*

Yes
No

Have you ever been subjected to expulsion, reprimand, or other discipline by a church, denomination or other religious organization?*

Yes
No

Have you ever been the subject of any disciplinary action (including discharge) or investigation by a church, religious or other organization, or by an employer?*

Yes
No

Do you have any health concerns of which we should be aware? (e.g. medical, psychiatric)*

Yes
No

If you have answered yes to any of the above questions, please explain.

References*

Please provide the names of three individuals, excluding relatives, who could provide a reference for you; and include at least one reference from outside the parish. For each reference, please provide their name, phone number, the nature of your relationship, and how long you've known each other.

St. Peter's Fireside

Personal History

Spiritual History

Confidential Information

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