Phone Number *
Phone type Mobile Home Work Other
Please briefly share about your salvation experience. *
Are you currently a member of Chapel Hill Christian Church? *
Do you currently or have you ever served in another ministry at Chapel Hill Christian Church? *
Please select your top 3 spiritual gifts.
If you are uncertain please complete the spiritual gift assessment at spiritualgiftstest.com
Please give two (2) references with whom you have had sufficient contact over the past five (5) years. *
Have you ever been convicted or plead guilty to a crime? (omit all minor traffic offenses) *
Select… No Yes
Have you ever committed, been convicted of, plead guilty to or entered a plea of no contest to any criminal offense involving: *
abuse, neglect, domestic violence, rape, sexual molestation, child molestation, or any criminal sexual conduct? (If "yes" please explain)
Select… No Yes
Is there anything in your past that might affect your ability to minister effectively to children? (If "yes" please explain) *
Select… No Yes
Acknowledgment *
I hereby certify that I have read and completed the above application. My answers are true and correct to the best of my knowledge. I give permission for the church to maintain my photograph on file and to conduct a criminal-court background check on me now and at regular intervals. If allowed to work with children I agree to be bound by the bylaws and policies of Chapel Hill Christian Church. I hereby authorize all persons, schools, organizations and law enforcement agencies to supply Chapel Hill Christian Church with any information concerning my character or background in connection with working with children and I hereby release them from liability or damages which may occur as a result of their response to this request. I understand that if allowed to serve, that any misrepresentation made by me in this application shall be considered sufficient cause for my dismissal without advance notice.
Select… I agree I disagree
Submit