Application for Church Volunteers

We are so excited that you are interested in serving with Central Assembly!
Fill out the form below and we will get back to you shortly!

Name *
This is confidential, and for a background check.
Date of Birth *
Date of Birth
Address *
Other Names Used
Home Telephone *
Home Telephone
Cell *
Work *
May we call you at work? *
Do you have a physical limitations or medical conditions which may limit your ability to complete your duties? *
For example: If working with children, will you be able to run short distances in an emergency.
Are you taking prescription medications which might impair your duties? *
Do you have personal habits which might cause someone to question your Christian testimony, such as smoking, drinking, gambling, violence, or use of pornography? *
Do you now have a valid driver’s license and a good driving record? *
Have you ever had your driver’s license suspended or revoked for any reason? *
Have you ever been convicted of a felony criminal offense? *
Have you ever been convicted of a crime of violence? *
Have you ever been convicted of a sex crime? *
What type of children's/youth work do you prefer? *
You may select more than one
Which days are you available and will to serve? *
You may select more than one
Please put your initials
Have you accepted Christ as Lord? *
Do you understand the sixteen Statements of Fundamental Truths of the Assemblies of God? *
Do you agree not to teach beliefs contrary to our tenants of faith? *
Have you received the Baptism in the Holy Spirit as recorded in Acts 2:4; 10:44-46 and 19:6? *
Have you become a member? *
What is your attendance pattern? *