Childrens Ministry Info:

Your full name:

Street address:

City:

Zip code:

Previous Street address:

Previous City:

Previous zip code:

Home Phone Number

Cell Phone Number

Work Phone Number

Work Ext.

e-mail addresses:





Birthday:

Do you have children?:

If so, how many?:

When did you accept Christ?

Do you consider Valley Life your home church?:

How long have you been attending Valley Life?:

Do you attend service regularly?:

Are you a member of VLC?  If not, are you willing to sign up for the next series of Gospel Classes?:

Are you a part of a Community Group?  Who leads your group?:

What position and age group are you interested in?:

What other ministries do you participate in?:

Please describe your previous experience working with children:

Are you CPR Certified?:

If yes, when were you CPR Certified?:

Have you ever been convicted of or pled guilty to a crime? If yes, please explain.

Have you ever been convicted, arrested, or accused of molestation or inappropriate behavior with or around children? If yes, please explain.


Valley Life Church will run a background check on all Children’s Ministry Applicants. Do you have any reason to believe that a background check would disclose any information that would suggest that you should not serve in Children’s Ministries?

Please provide two references for us to contact. One should be a member of the congregation who knows you well.

Reference #1 - Name/Address/Phone Number

Reference #2 - Name/Address/Phone Number

By submitting this form, I agree that:

I understand that working in Children’s Ministry means being a good example for children through regular church attendance and by representing Christ in all areas of my life.

I understand that my time commitment is one year.

I give permission for Valley Life Church to run a background check on me.