Thank you for serving.

The purpose of this application is to help the church provide a safe and secure environment for the children and youth under our care, as well as place workers in ministries they're best suited by virtue of their gifting, experience, and life history.

Applications will be reviewed only by the pastoral staff and children's ministry coordinators. Please check the box if you would only like your application to be viewed by a pastor. Upon review, applications will be kept in a secured file. You may return applications to any children's ministry coordinator or pastor directly.

The leadership of Rockwall Pres will review all applications with confidentiality, sensitivity, and compassion. Thank you for applying and wanting to serve the next generation of disciples.


The Application

Demographic Information
Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone
General Information
Marital Status *
Spouse's Name (if applicable)
Spouse's Name (if applicable)
RPC Membership Status *
Have you ever volunteered for our church before? *
Are you over the age of 18 years old? *
Have you ever been convicted of any moving violations in the past five years? *
Have you ever been convicted of a crime? *
Have you ever been convicted of a crime or municipal ordinance violation in any federal, state, or municipal court? *
Have you ever pled guilty, been found guilty, entered a plea of no contest, or an Alford plea of guilty for any offense? *
Have you ever pled guilty, been found guilty, entered a plea of no contest, or an Alford plea of guilty for any offense involving a minor child? *
Have you been placed on probation, received a Suspended Execution of Sentence or Suspended Imposition of Sentence? *
Have you ever been placed on probation, received a Suspended Execution of Sentence or Suspended Imposition of Sentence for any offense involving a minor child? *
Are you or have you ever been placed on any local, state, or federal registry for sex offenders? *
Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor child? *
Have you ever physically or sexually abused a minor? *
We define physical abuse as non accidental injury of a child, and sexual abuse as the sexual exploitation of a minor for the gratification of another person.
Have you ever been concerned that you may have an addiction to drugs, alcohol, pornography, or any other addiction; or has anyone ever suggested that you may have a problem with an addiction of any kind? *
Were you a victim of abuse or molestation while a minor? *
PLEASE NOTE: Answering "yes" to this question will not automatically disqualify an applicant from serving in children's or youth ministry. Abuse can leave long-lasting scars, and in some cases seriously impair one's ability to work with children. Additionally, being the target of abuse does not mean that person will become a perpetrator, but among child molestation and abuse cases the perpetrator having been abused themselves is a very common factor. Therefore, our desire is to do our due diligence for the protection of our children and we feel it's imperative to ask this question. Again, these applications are confidential.
References
List three people you know who meet the following criteria: 1) over 18 years old, 2) is not related to you, and 3) has knowledge of your character. References will be checked by a children's ministry coordinator or staff, unless the applicant has checked the confidential box at the top of the application. In this case, a pastor will review the application and contact the listed references.
Reference 1 *
Reference 1
Phone *
Phone
Reference 2 *
Reference 2
Phone *
Phone
Reference 3 *
Reference 3
Phone *
Phone
Applicant's Statement
This information contained in this application is correct the best of my knowledge. I authorize any references or churches listed in this application to give you any information (including opinions) they may have regarding my character and fitness for children's or youth ministry. In consideration of the receipt and evaluation of this application by Rockwall Presbyterian Church, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature that may at any time result to me, my heirs, or family on account of compliance, or any attempts to comply, with this authorization. I waive any right I may have to inspect any information provided about me by any person or organization identified by me in this application. Should my application be accepted, I agree to be bound by the bylaws and policies of Rockwall Presbyterian Church and to refrain from unscriptural conduct in the performance of my services on behalf of the church. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF, AND SUBMIT THIS APPLICATION AS MY OWN FREE ACT. This is a legally binding agreement, which I have read and understand.
Applicant's Signature *
Applicant's Signature
Date *
Date
Background Check Authorization
Name *
Name
Please include your middle name with your First Name.
Any former names previously used?
Any former names previously used?
Current Address *
Current Address
Previous Address 1
Previous Address 1
Previous Address 2
Previous Address 2
Date of Birth *
Date of Birth
Phone *
Phone
SIGNATURE & AUTHORIZATION
The information contained in this application is correct to the best of my knowledge. I hereby authorize Rockwall Presbyterian Church and its designated agents and representatives to conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment and/or volunteer purposes. I understand that the scope of the consumer report/ investigative consumer report may include, but is not limited to the following areas: verification of social security number; credit reports, current and previous residences; employment history, education background, character references; drug testing, civil and criminal history records from any criminal justice agency in any or all federal, state, county jurisdictions; driving records, birth records, and any other public records. I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me, to Rockwall Presbyterian Church or its agents. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, or public agency may have, to include information or data received from other sources. Rockwall Presbyterian Church and its designated agents and representatives shall maintain all information received from this authorization in a confidential manner in order to protect the applicants personal information, including, but not limited to, addresses, social security numbers, and dates of birth.
Signature *
Signature
Date *
Date