Hey there! Fill out the form below to start your serving process. ARE YOU A MEMBER OF WATERSTONE CHURCH? * YES NO ARE YOU APPLYING TO SERVE AT ADVENTURE CAMP? YES NO SERVING OPPORTUNITIES ARE RESERVED FOR MEMBERS OF WATERSTONE CHURCH. THANK YOU FOR YOUR INTEREST! Name * First Name Last Name Email * Phone * (###) ### #### Date of Birth * MM DD YYYY What areas of ministry interest you? CONNECT TEAM Life Group Leader or Host Home Ministry Support or Administration Guest Services (Greeting, Hospitality, Usher) WORSHIP ARTS Worship Team: Band Worship Team: Vocals WATERSTONE KIDS - WSKIDS Nursery Pre-School Kindergarten - 5th Grade Transition Team The Filling Station WSKIDS Tech Team Adventure Camp WATERSTONE ACADEMY Administrative/Office I'm a teacher! WATERSTONE YOUNG - WSYNG Small Group Leader Worship Arts WSYNG Tech Team Hospitality MEDIA + PRODUCTION Video Production Audio Production Photography Cinematography ONLINE CAMPUS HOST 9AM Livestream Engagement + Host CAMPUS SAFETY TEAM Yes OTHER: (Please explain below) The purpose of the following questions is to assist in the creation of a safe environment for those who participate in the ministries of Waterstone Church. HAVE YOU EVER BEEN CONVICTED OF ANY CRIMINAL ACTIVITY? YES NO Please Explain: HAVE YOU EVER BEEN CAUTIONED BY THE POLICE OR BOUND OVER TO KEEP THE PEACE? YES NO Please Explain: HAVE YOU EVER BEEN FOUND GUILTY BY A COURT EXERCISING CIVIL JURISDICTION (INCLUDING MARRIAGE/FAMILY JURISDICTION) TO HAVE CAUSED SIGNIFICANT HARM TO A CHILD OR YOUNG PERSON UNDER THE AGE OF 18 YRS., OR HAS ANY SUCH COURT MADE ANY ORDER AGAINST YOU ON THE BASIS OF FINDING OR ALLEGATION THAT ANY CHILD OR YOUNG PERSON WAS AT RISK OF ANY SIGNIFICANT HARM FROM YOU? YES NO Please Explain: HAS YOUR CONDUCT EVER CAUSED OR BEEN LIKELY TO HAVE CAUSED SIGNIFICANT HARM TO A CHILD OR YOUNG PERSON UNDER THE AGE OF 18, OR PUT A CHILD OR YOUNG PERSON AT RISK OF SIGNIFICANT HARM, OR TO YOUR KNOWLEDGE HAS IT EVER BEEN ALLEGED THAT YOUR CONDUCT HAS RESULTED IN ANY OF THOSE THINGS? (THIS QUESTION RELATES TO ANY CONDUCT, WHETHER IN A PAID, VOLUNTARY OR OTHER CAPACITY.) YES NO Please Explain: HAS A CHILD IN YOUR CARE OR FOR WHOM YOU HAVE OR HAD PARENTAL RESPONSIBILITY EVER BEEN REMOVED FROM YOUR CARE BY A GOVERNMENT AGENCY OR LEGAL PROCESS? YES NO Please Explain: DO YOU HAVE ANY HEALTH PROBLEMS WHICH MIGHT AFFECT YOUR WORK WITH CHILDREN OR YOUNG PEOPLE UNDER THE AGE OF 18? YES NO Please Explain: HAVE YOU, SINCE THE AGE OF 18, EVER BEEN KNOWN BY ANY OTHER NAME THAN THE ONE GIVEN ABOVE? YES NO Please Explain: HAVE YOU EVER RECEIVED PROBATION OR COMMUNITY SUPERVISION FOR ANY FEDERAL, STATE OR MUNICIPAL OFFENSE? YES NO Please Explain: HAVE YOU EVER BEEN CONVICTED OF ANY CRIMINAL OFFENSE IN A COUNTRY OUTSIDE OF THE JURISDICTION OF THE UNITED STATES? YES NO Please Explain: AS OF THIS DATE, DO YOU HAVE ANY PENDING CHARGES AGAINST YOU? YES NO Please Explain: ARE YOU AN ACTIVE OR RETIRED POLICE OFFICER, EMT, OR MILITARY? NO ACTIVE POLICE OFFICER RETIRED POLICE OFFICER ACTIVE EMT RETIRED EMT ACTIVE MILITARY RETIRED MILITARY VETERAN From which State? Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Share any additional information about yourself: Thank you!