Leadership Application: Adult Survey

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* 1. Your Personal Information:

Date:

First Name:

Last Name:

Date of Birth (Mo/Day/Yr):

Mailing Address:

City, State, Zip:

Phone:

Email:

Marital Status:

What social media accounts do you have? ex. Facebook, Twitter, Instagram:

How long have you attended New Life Church?

Have you completed Growth Track at New Life Church?

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* 2. Do You Regularly Attend Weekend Services At New Life Church?

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* 3. DO YOU HAVE CERTIFICATION IN ANY OF THE FOLLOWING?

	YES/NO
CPR	CPR YES/NO menu
LIFE GUARD	LIFE GUARD YES/NO menu
NURSE	NURSE YES/NO menu
EMT	EMT YES/NO menu
FIRST AID	FIRST AID YES/NO menu

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* 4. Do you have an interest in serving at SPECIAL EVENTS?

	YES/NO/MAYBE
Winter Retreat:	Winter Retreat: YES/NO/MAYBE menu
Summer Camp:	Summer Camp: YES/NO/MAYBE menu
Missions Trips:	Missions Trips: YES/NO/MAYBE menu
Motion Night:	Motion Night: YES/NO/MAYBE menu
Dinner Nights:	Dinner Nights: YES/NO/MAYBE menu
Youth Convention:	Youth Convention: YES/NO/MAYBE menu
Other - Any student related event not listed above:	Other - Any student related event not listed above: YES/NO/MAYBE menu

**VERY IMPORTANT** If you can't attend for the whole event, please let us know what days/time you plan to attend:

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* 5. What Service/Campus would you like to work with?

Dublin ROOTS (Middle school program - Sunday Morning Services) located at New Life Dublin

Dublin Accelerate Midweek Service (Every Tuesday, 7pm) in Dublin

Alamo ROOTS (Middle school program - Sunday Morning Services) located at New Life Church, Alamo

Alamo Accelerate Midweek Service (Every Wednesday, 7pm) located at New Life Church, Alamo

N/A: At this time I am only interested in Serving with Special Events.

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* 6. What area of Accelerate are you interested in?

ROOTS Leader: This is a commitment to one of the Sunday morning services at either the Dublin or Alamo Campus. Leaders are needed to help lead middle schoolers (6th-8th grade) in group discussions based on the weekly topic.

Life Group Leader: This position requires a weekly Tuesday or Wednesday night commitment. Share life, & love on students within your small group of about 6-12 students. Help lead the discussion centered around that Tuesday or Wednesday night’s message. Small group leaders are needed for each Grade from 6th–12th. This is one of our Greatest Areas of Need.

Life Group Coach: We need someone that is willing to check in with and support our Life Group
Leaders.

Hospitality: Once a month we serve dinner to our students & we need individuals to help coordinate and oversee these meals.

Worship Team

Sound/Tech: Help run sound, videos, etc.

Check In: Each week we check our students into youth through a computer system. We need leaders that could come 30 minutes early to youth on Tuesday/Wednesday nights and stay through the event.

Facility/Security Staff: We need adults that are willing to oversee our campus and the whereabouts of our students on Tuesday/Wednesday evenings.

Social Media: Do you have an interest in promoting events and keeping our Social Media accounts fun, relevant, and up to date? Let us know!

N/A: At this time I am only interested in Serving with Special Events.

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* 7. PERSONAL:
Please write a brief testimony about how and when you became a Christian . . .

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* 8. How would you describe your spiritual walk now?

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* 9. What accountability to your spiritual walk do you have?

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* 10. What people or experiences have been most significant in your growth as a Christian?

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* 11. What do you do when you have conflict with someone? How do you handle confrontation?

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* 12. Are there any special issues or concerns happening in your life right now that would have an impact in your commitment and involvement in student ministries (relationships, other commitments, etc.)?

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* 13. LEGAL/LIFESTYLE CONCERNS:
In caring for students, we believe it is our responsibility to seek an adult staff that is able to provide healthy, safe, and loving relationships. Any special concerns can be discussed individually with the pastoral staff.

Are you using illegal drugs? Yes or No:

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* 14. Yes or No: Have you ever gone through treatment for alcohol or drug use? ...if yes, please explain:

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* 15. What is your view on drinking alcohol or using drugs?

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* 16. Are you aware of any habits, traits, or tendencies you possess that could pose any threat to children, youth, or adults that would impact your commitment or involvement with Accelerate Student Ministries?

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* 17. Yes or No: Have you ever been arrested and/or convicted of a crime?...if yes, explain:

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* 18. Have you had any sexual relations with any minor after you became an adult?

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* 19. Yes or No: Have you ever participated in, been accused of, or convicted of, pleaded guilty, or no contest to any form of abuse or sexual misconduct?...if Yes, Explain:

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* 20. MINISTRY:
What other ministries have you been involved in and your reasons for moving on from that ministry?

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* 21. Have you ever been in a student ministry before, as either a student or an adult leader?
Describe your impressions of the experience . . .

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* 22. What spiritual gifts do you feel you have and how would you like to use them in this student ministry?

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* 23. Do you have any special skills that could be helpful to the Student Ministry (drama, music, sports, etc.)?

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* 24. Why do you want to volunteer with Accelerate?

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* 25. What are some of your expectations of Accelerate and the staff?

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* 26. Please provide us with 3 References that we may contact: (Non Family Members and Non New Life Church Staff Members). Please include PHONE and EMAIL for each. EMAIL REQUIRED

REFERENCE #1:

Name:

Phone Number:

Email Address:

Relationship:

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* 27. REFERENCE #2:

Name:

Phone Number:

Email Address:

Relationship:

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* 28. REFERENCE #3:

Name:

Phone Number:

Email Address:

Relationship:

The information contained in this application is correct to the best of my knowledge. I, undersigned, give my authorization to this church or its representatives to release any and all records or information relating to working with minors. The church may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability as a volunteer.

I understand that the personal information will be held confidential by the professional church staff.

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* 1. Your Personal Information:

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* 2. Do You Regularly Attend Weekend Services At New Life Church?

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* 3. DO YOU HAVE CERTIFICATION IN ANY OF THE FOLLOWING?

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* 4. Do you have an interest in serving at SPECIAL EVENTS?

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* 5. What Service/Campus would you like to work with?

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* 6. What area of Accelerate are you interested in?

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* 7. PERSONAL: Please write a brief testimony about how and when you became a Christian . . .

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* 8. How would you describe your spiritual walk now?

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* 9. What accountability to your spiritual walk do you have?

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* 10. What people or experiences have been most significant in your growth as a Christian?

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* 11. What do you do when you have conflict with someone? How do you handle confrontation?

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* 12. Are there any special issues or concerns happening in your life right now that would have an impact in your commitment and involvement in student ministries (relationships, other commitments, etc.)?

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* 13. LEGAL/LIFESTYLE CONCERNS:In caring for students, we believe it is our responsibility to seek an adult staff that is able to provide healthy, safe, and loving relationships. Any special concerns can be discussed individually with the pastoral staff.Are you using illegal drugs? Yes or No:

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* 14. Yes or No: Have you ever gone through treatment for alcohol or drug use? ...if yes, please explain:

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* 15. What is your view on drinking alcohol or using drugs?

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* 16. Are you aware of any habits, traits, or tendencies you possess that could pose any threat to children, youth, or adults that would impact your commitment or involvement with Accelerate Student Ministries?

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* 17. Yes or No: Have you ever been arrested and/or convicted of a crime?...if yes, explain:

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* 18. Have you had any sexual relations with any minor after you became an adult?

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* 19. Yes or No: Have you ever participated in, been accused of, or convicted of, pleaded guilty, or no contest to any form of abuse or sexual misconduct?...if Yes, Explain:

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* 20. MINISTRY: What other ministries have you been involved in and your reasons for moving on from that ministry?

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* 21. Have you ever been in a student ministry before, as either a student or an adult leader?Describe your impressions of the experience . . .

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* 22. What spiritual gifts do you feel you have and how would you like to use them in this student ministry?

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* 23. Do you have any special skills that could be helpful to the Student Ministry (drama, music, sports, etc.)?

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* 24. Why do you want to volunteer with Accelerate?

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* 25. What are some of your expectations of Accelerate and the staff?

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* 26. Please provide us with 3 References that we may contact: (Non Family Members and Non New Life Church Staff Members). Please include PHONE and EMAIL for each. EMAIL REQUIREDREFERENCE #1:

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* 27. REFERENCE #2:

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* 28. REFERENCE #3:

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* 29. I GRANT CONSENT

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* 30. Signature:

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* 31. Signed:

* 7. PERSONAL:
Please write a brief testimony about how and when you became a Christian . . .

* 13. LEGAL/LIFESTYLE CONCERNS:
In caring for students, we believe it is our responsibility to seek an adult staff that is able to provide healthy, safe, and loving relationships. Any special concerns can be discussed individually with the pastoral staff.

Are you using illegal drugs? Yes or No:

* 20. MINISTRY:
What other ministries have you been involved in and your reasons for moving on from that ministry?

* 21. Have you ever been in a student ministry before, as either a student or an adult leader?
Describe your impressions of the experience . . .

* 26. Please provide us with 3 References that we may contact: (Non Family Members and Non New Life Church Staff Members). Please include PHONE and EMAIL for each. EMAIL REQUIRED

REFERENCE #1: