This application is to be completed by anyone desiring to be involved in ministries of LifePoint Church. Completion of this application helps ensure the highest level of safety and excellence in our ministries. Its contents are completely confidential and only viewed by those involved in the volunteer screening process.
*All Fields Are Required*

Which ministry are you completing this form for?

What's your full name?

What's your email address?

What's your date of birth?

What's your gender?

What's your full residential address?

What's your marital status?

Do you have children?
If so. please list name and ages.

How long have you been attending LifePoint Church?

Please list the names of churches you'd attended regularly (if any) over the past 5 years.
Please include how long you attended and the name of a pastor or staff member who could serve as a reference.

Please list any experience in ministries/volunteer work at LifePoint or elsewhere.

Please list any leadership positions you have held outside of the church setting, if any.

Have you been baptized in water?

If yes, when?

Do you have any habits or lifestyle choices that could negatively affect the reputation of Jesus and His Church? If yes, please explain.
(i.e. abuse of alcohol or prescription drugs, use of marijuana or illicit drugs, sexual relations outside of Biblical marriage between a husband and wife)

Have you ever been the subject of a child abuse investigation? If yes, please explain.

Have you ever been convicted of, or pled guilty or no contest to a crime other than a minor traffic violation, or are you now under charges for any criminal offense?

If yes, please provide details. A criminal conviction will not necessarily disqualify you from consideration, depending on the circumstances and date of occurrence.

Please include two references.
(1) a non-relative, personal reference and (2) a supervisor/employer reference. References will be emailed, so please make sure to include their email address.

Applicant's Agreement and Signature

By submitting this application, I affirm that the information set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I authorize any references or churches listed in this application to give you any information they may have regarding my character and fitness. I release all such references from liability for any damage that may result from furnishing such evaluations to the church and I waive any right that I may have to inspect references provided on my behalf.

Should my application be accepted, I agree to abide by the Constitution and Bylaws and Policies of LifePoint Church and to submit to the church leadership.

Your privacy is very important to LifePoint. The personal information you've shared during this application process will not be distributed or shared with any third parties.

Once you submit this application, watch your email inbox for a message from Protect My Ministry – if you are applying to serve around money or minors, this email will contain a required background check link which expires 24 hours after you receive it.