Crossing Kids Application - Green Valley Crossing

Personal Information

Address *

Phone number *

Gender *

Birthdate

Have you personally accepted Jesus as your Savior and Lord, and are you committed to displaying the character of Christ in all areas of your life? *

Yes

No

Are you a member of Green Valley Crossing? *

Yes

No

If so, since when?

Do you regularly attend the church?

Yes

No

If so, since when?

Do you regularly practice spiritual disciplines or have a quiet time with the Lord? *

Yes

No

In what area(s) of ministry are you currently involved, and how long? If none, type "none." *

Tell us about your spiritual journey to date. *

Why do you desire to work in Crossing Kids? *

Employment History

Current Employer

Employer's Address

Street, City, State, Zip

Supervisor's Name

Employer's Phone Number

What is your current position at work?

Military Service

In what branch did you/are you serving?

Army

Navy

Coast Guard

Marines

Air Force

Space Force

Rank

Discharge

Personal Situations

Marital Status *

Single

Married

Widowed

Divorced

Do you have children of your own? *

Yes

No

If so, what ages and gender?

Have you ever been arrested, convicted, or pleaded guilty to a crime? *

Yes

No

If yes, please explain.

Have you ever been suspected, accused, charged, or alleged to have, or have you ever committed an act of neglecting, abusing, or molesting a child? *

Yes

No

If yes, please explain.

Is there any circumstance or pattern in your life that may make it inappropriate for you to work with children? *

Yes

No

If yes, please explain.

If there has been alcohol, substance abuse, physical abuse, or sexual abuse in your past, what steps have you taken to minimize the impact that those issues will create for you, both now and in the future? If not applicable, please type "none." *

Have you ever been treated for a psychiatric disorder? *

Yes

No

If yes, please explain.