Dream Team Application
This application is to be completed by all individuals seeking to volunteer in any ministry or activity including the supervision or custody of minors. It is designed to help the church provide a safe and secure environment for all who participate in our programs and use our facilities. Please complete each section to the best of your ability. Note: This is not an employment application form. Persons seeking a position in the church as a paid employee shall be required to complete an additional employment application. Contact the church office for more information.
Name
*
First Name
Middle Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Sex
*
Male
Female
Marital Status
*
Married
Single
Divorced
Domestic Partner
Spouse's Name
First Name
Last Name
Sexual Preference
*
Heterosexual
Homosexual
Bisexual
Children (Name/ages)
*
If none put "N/A"
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Are you a United States Citizen?
*
Yes
No
Have you any time ever been arrested for any reason?
*
Yes
No
Have you any time ever been convicted of, or pleaded guilty or no contest to, any crime?
*
Yes
No
Have you any time ever engaged in, or been accused of, any child molestation, exploitation, or abuse?
*
Yes
No
Have you any time ever been accused of, or convicted of rape?
*
Yes
No
Have you any time ever been convicted as a sex offender in any state?
*
Yes
No
Are you aware of any reason why you should not work with children, youth, or others?
*
Yes
No
Are you aware of having any traits or tendencies that could pose a threat to children, youth, or others?
*
Yes
No
Are you aware of having any medical conditions or on strong medications that may pose a problem?
*
Yes
No
If the answer to any of these questions is "yes," please explain in detail:
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Personal Habits
Do you currently engage in any of the following activities that may challenge your standing as a role model to children or youth of The Assembly at Broken Arrow, Summit Christian Academy and/or Summit Early Learning Center?
alcohol
tobacco use
illegal drugs/substance abuse
pornography
Are you a Christian?
*
Yes
No
When did you give your life to Christ?
*
How long have you attended The Assembly at Broken Arrow?
*
Do you consider The Assembly your church home?
*
Yes
No
How many weekend worship services do you attend each month?
*
0 times a month
1-2 times a month
3-4 times a month
Please check the statements that apply to you. I believe:
in the virgin birth and deity of Jesus Christ.
that Jesus rose bodily from the dead.
in the eternal damnation of the lost.
that Jesus is God's son and only sacrifice for sin.
in the infallibility of the Holy Bible.
that a person must be born again to receive eternal life.
What Dream Team are you applying for?
*
Please Select
Adult Ministries
Assembly Kids
Assembly Youth
Champions
Connections
Creative Arts
General Dream Team
Pastoral Care
Special Event
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References
Please complete this section only if applying to serve in ministries with minors (under 18 years). Please note that all Dream Team members applying to serve with minors will also be required to review and sign the Child Abuse Prevention Policy.
Please list all organizations you served on and the dates you served
*
Organization, Role, Dates, Phone Number
Please list all the churches you have attended in the past five years?
*
Church Name, Pastor's Name, Dates Attended, Phone Number
Reference#1
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference#2
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference#3
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
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Dream Team Expectations
A Dream Member: 1. Is sincere, worthy of respect, and of a good reputation. 2. Tithes regularly to The Assembly. 3. Has a genuine desire to serve and minister to other people. 4. Leads, motivates and teaches other people. 5. Creates positive group dynamics and resolves conflicts within the group.
I understand that by checking the "I AGREE" statements below I am agreeing to uphold and meet the qualifications and expectations of a Dream Team Member of The Assembly at Broken Arrow.
*
I understand.
I believe that I meet the qualifications for serving and I agree to the following:
I agree to fulfill the mission, vision and purpose of The Assembly.
I agree to fulfill the responsibilities outlined in this Dream Team 401 training.
I agree to abide by The Assembly Leadership Honor Code.
I agree complete The Assembly's Growth Track in the next 4-6 weeks.
Applicant Verification Release
I recognize that The Assembly at Broken Arrow is relying on the accuracy of the information contained herein. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct. I authorize The Assembly at Broken Arrow to contact any person or entity listed in the application, and I further authorize any such person or entity to provide The Assembly at Broken Arrow with information, opinions, and impressions related to my background or qualifications. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application. I voluntarily release The Assembly at Broken Arrow and any such person or entity listed herein forms liability involving the communication of information relating to my background or qualifications. I further authorize The Assembly at Broken Arrow to conduct a state and federal police background check in its efforts to provide a safe environment for the children and youth of our church community. I have carefully read the foregoing release and know the contents thereof and I sign this release as my own free act.
*
I agree.
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Leadership Honor Code
As an essential part of The Assembly Leadership family, you have a responsibility to develop and exhibit mature Christian behavior. This should be the basic premise of your desire to participate in a servant-leader position here at The Assembly. While serving the Body of Christ as a servant-leader at The Assembly, you pledge to strive to demonstrate Biblical standards in all situations. As Christians, the way we present ourselves to others is of vital importance to the way others perceive Christ. Our conduct should never be an embarrassment to Christ, but should exemplify the best qualities of a mature believer and servant-leader.Exemplifying the highest moral commitment, The Assembly's leaders are to maintain a disciplined life of Bible reading, prayer, and fasting.By providing an example in speech and action, we encourage others to grow in Christ and become servants-leaders themselves. This is a way of life measured by the heart and commitment of each leader in The Assembly family. We should regard it as an essential part of our development, not as an imposition or restriction.
Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Submit
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