Phone number *
Phone type Mobile Home Work Other
Household Members *
Please state name(s) and relationship(s) of others living in household including spouse, children, parents, siblings, fiancé, boyfriend, girlfriend, etc. If you live alone, type
Gender *
Select… Male Female
Marital status *
Select… Single Married Divorced Widowed Separated Long term relationship
T-Shirt Size *
Adult, unisex sizes
Select… X-Small Small Medium Large X-Large XX-Large XXX-Large
Why do you want to volunteer with Eastwind Student Ministry? *
Which group(s) are you interested in serving with? *
Which volunteer role(s) interest you? *
Select all roles that interest you:
What other churches have you been affiliated with in the last ten years? *
Please list names, locations and time affiliated with or attending each church
What previous experience do you have working with Children or Youth? *
Please list any home, volunteer, or employment experience, including dates, organizations, and titles.
Favorite Drink?
What do you order at a coffee shop / favorite soft drink?
How would you explain to a jr high or high school student how to become a follower of Christ? *
Media Release *
Personal Release Agreement: As part of my volunteer experience with Eastwind Community Church (ECC), I understand that my name, image (in photograph and/or video), or statements (collectively "Contribution") may become part of a promotional video or product produced by ECC. I grant ECC and ECC's publishers and partners the right to use my Contribution in all forms and media and for use in advertising and promotion. I waive my right to approve of or inspect the use of my name, image, and/or statements in the product and acknowledge that I have no ownership rights in the product. I release ECC and ECC's assigns, licensees, and successors from any claims that may arise regarding the use of the Contribution including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity, copyright, or right to compensation. I have read and understood this agreement.
Have you ever been arrested or charged with/convicted of a crime? *
Select… Yes No
Do you have a history of substance abuse or any type of addiction? *
Select… Yes No
Have you experienced any significant events in your life that we should know about (e.g., serious illness, abuse or divorce)? *
Select… Yes No
Please list three references, not related to you, that you would not mind us contacting. *
These references should be of an institutional nature as opposed to personal or family references, preferably from organizations where you have worked with children or youth in the past.
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