Lincoln Park Community United Methodist Church has a Safe Sanctuaries policy founded on respect and love of all God’s people especially children, youth and vulnerable adults in our church and community. This policy gives children, youth, staff, volunteers and families a sense of confidence and well-being. Child abuse clearances are required. Please fill out this form to apply for employment or volunteer opportunities at our church. All fields are required unless otherwise specified. Position for which you are applying: Children and Youth Education Coordinator (paid)Volunteer Personal Information Name: Address, City, State, Zip: Cell Phone: Home Phone (optional): Work Phone (optional): Email (personal or work): Best time of day to call: MorningAfternoonEvening Current employer and position: Can you receive calls at work?: YesNo Previous Employer and Position: Dates employed: Previous Employer and Position: Dates employed: Previous Employer and Position: Dates employed: Have you ever been convicted of a crime?: YesNo If yes, please explain: Is there any other information we should know?: Church Activity Please write a brief statement about your Christian faith: Experience & Education High School: Did you graduate?: YesNo College/Trade School: Did you graduate?: YesNo Certifications related to early childhood development: What volunteer or career experiences with children/youth have you had in the church or community?: List any concerns or needs you have in working with children and youth: Personal References (not a family member) Name 1: Phone: Address: Name 2: Phone: Address: I understand that a condition of my employment will be to read, agree and to follow our Safe Sanctuaries policy and to attend training as it is made available. I understand that this position requires child abuse clearances, FBI fingerprinting and background checks as mandated by the law of PA. Applicant's Statement The information contained in this application is true and correct to the best of my knowledge. I authorize any of the above references, employers, or churches to give you any information they may have regarding my character and fitness to work with children and/or youth. Type Name: Date: Δ