CPP | Application to Serve with LBC Children & Students

This application should be completed by all applicants for any position (volunteer or employment) involving the supervision of children or students. The purpose of this form is to assist in the creation of a safe environment for children or students who participate in the programs of Liberty Baptist Church or use Liberty Baptist Church facilities.

Please note that, while you may begin the process to be approved to serve with kids before you are a member of Liberty Baptist Church, you must be a covenant member of Liberty Baptist Church and have attended Liberty Baptist Church for a minimum of six months before you can be approved to serve with children at LBC.

Your name *

Email address *

Date of Birth *

Phone *

Address *

Drivers License # *

Are you a covenant member of Liberty Baptist Church? *

How long have you been attending Liberty Baptist Church? *

Sex *

Male

Female

Marital Status *

How long have you lived at your current address? *

Previous Address *

List all other cities and states where you have lived as an adult: *

Child Protection Policy Adherence

Everyone who serves with children or students during Liberty Baptist Church functions must agree to abide by Liberty Baptist Church's Child Protection Policy and Code of Conduct.

Please read both of the documents linked below in their entirety before continuing with the application, to ensure that you are able to comply with our stated policy and procedures.

Child Protection Policy - 2023 Version
https://drive.google.com/file/d/1P9TjQdOVWE68xpkGGxg75o4XGRpIrqql/view
LBC Volunteer Code of Conduct
https://drive.google.com/file/d/1Oo3Db2dYT_SjyMuV6K1fmHRShe77UoGe/view

I affirm that I have read the LBC Child Protection Policy Manual in its entirety. *

I affirm that I have read the LBC Volunteer Code of Conduct in its entirety. *

I affirm that I can, in good conscience, comply with the entirety of the LBC Child Protection Policy and Volunteer Code of Conduct. *

Personal History and Experience

Because we care for children and desire to protect them, please answer the following questions. We understand that the answers to these questions may be private and deeply personal, and we will protect your privacy in every possible context. It is the position of Liberty Baptist Church that suspicions or allegations of child abuse or neglect will be reported to relevant state authorities.

Why do you want to work with children or students at Liberty Baptist Church? *

Do you have a preference concerning the age group or sex of children or students with whom you would like to work? If so, what is the basis for this preference? *

What is your philosophy concerning re-direction or discipline of children? *

When you are unhappy, angry, or emotional about a person or circumstance, what do you do? *

Have you experienced any significant physical or emotional stressors within the past year, such as the loss of a parent, spouse, or child, extreme ill health, or any emotional or physical crisis? If so, please briefly explain. *

Have you ever physically or sexually abused a child? *

Has someone ever accused you of physically or sexually abusing a child, or molesting a child? *

References

Each applicant must submit the names, emails, and phone numbers of at least one professional reference, one personal reference, and one family member (these references cannot be your spouse). Additional references may be submitted if deemed helpful by the applicant in allowing Liberty Baptist Church to determine the applicant's fitness for serving with children and students.

The professional reference should be familiar with the quality of the individual's work or involvement with children. One of these references should be a person of the opposite sex. Please contact these references and inform them an authorized Liberty Baptist Church Child Protection Team member will be contacting them.

Personal Reference First and Last Name *

Personal Reference Email *

Personal Reference Phone *

Professional Reference First and Last Name *

Professional Reference Email *

Professional Reference Phone *

Family Reference First and Last Name *

Family Reference Email *

Family Reference Phone *

Is one of the references above a person of the opposite sex? *

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