Leadership Application Volunteer & Employment Application This application is to be completed by all volunteers for any position involving the supervision or custody of minors and by all church employees who could have contact with minors in church facilities or on church sponsored activities. It will help our church family provide a safe and secure environment for all children and students who participate in our ministries and use our facilities. Today's Date Date Format: MM slash DD slash YYYY Date Available to begin work/volunteer: Date Format: MM slash DD slash YYYY Name* First Last Name you prefer to go by: GenderFemaleMaleDate of Birth* Date Format: MM slash DD slash YYYY Marital StatusSingleMarriedEngagedSeparatedDivorcedWidowedMaiden Name: Spouse's Namecurrent, past or fiancee' Email Cell Phone*Permanent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is this your current address:YesNoCurrent Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have:*NoneTwitterFacebookBlogFacebook: copy and paste link to your pageTwitter Blog Are you currently a college/grad student*NoYesCollege/Grad School AttendingYear in School:GPAChurch InformationAre you a member of Wildwood Church?*YesNo, I am a member of another churchNo, I am not a member of any churchName of church:Pastor's Name:Have you made a profession of faith in Christ Yes No Have you been baptized? Yes No List other churches you have attended regularly during the past five yearsname and address pleasePresent Employment
