Remedy Kids Volunteer Application

Thank you for your interest in volunteering with The Remedy Kids!

Please complete the following information and click submit.

If you have any questions or concerns, please contact us at info@theremedychurch.com

Date

Last Name

First Name

Middle Name

Street Address

City

State

Zip Code

Phone Number

Birthday

Email Address

Social Security Number

Drivers License Number

Marital Status:

Married

Single

Engaged

Separated

Divorced

Remarried

Widowed

Employer Information

Place of Employment

Phone Number

Do you have children in the Remedy Kids Ministry?

Please list the names and ages of your children

Thank you for your interest

What type of position are you looking for?

Teacher

Assistant

Please check the age group with which you are most interested in working

Nursery (Newborn - 1yr)

Toddlers (2yr-5yr)

Kids (6yr-12yr)

Personal References

Name

Address (Street/City/State/Zip)

Phone

Name

Address (Street/City/State/Zip)

Phone

Name

Address (Street/City/State/Zip)

Phone

Tells us more about you:

Why do you want to volunteer with the Remedy Kids Ministry?

How can you contribute to the Remedy Kids Ministry? (Such as your gifts and abilities)

Tell us your story of how Jesus has changed your life:

Thank you for completing this form. The information you provided will be used to conduct a routine background check. Your information will be kept confidential. If you have any concerns, please contact us at info@theremedychurch.com