Confidential

JH Application: JR High Students in Children's Ministry

Fourth Baptist Church · Nursery Ministry

This application must be completed by all JR High students applying for any volunteer position involving work with children in the nursery ministries of Fourth Baptist Church.

Personal Information

Last Name *

First Name *

Middle Name

Birth Date *

Phone(s)

Present Address *

City *

State *

Zip Code *

Email *

Training & Preparation

Identify any training, education, or other factors which have prepared you specifically for working with children/youth

Personal Reference (non-family)

Name *

Address

City

State

Zip

Phone *

Completion of Reading Policy

Please indicate that you have completely read and received instruction on the following section of the Child Policy of Fourth Baptist Church.

Read the Child Protection Policy

Section Four: Worker Supervision Procedures (PDF) — opens in a new tab

Section Four: Worker Supervision Procedures

Signature of Student *

Typing your full name serves as your electronic signature. Date: 9/3/2026

Volunteer's Statement — Read Carefully

In consideration of the receipt and evaluation of this application by the church, I agree and represent that:

The information contained in this application is correct to the best of my knowledge.I have completed the Safe-Sitter Class or comparable training (certificate on file @Fourth).I have received instruction on appropriate conduct with young children.

Signature of Student *

Typing your full name serves as your electronic signature. Date: 9/3/2026

Signature of Parent/Guardian *

Typing your full name serves as your electronic signature. Date: 9/3/2026

Standard Application

Records are kept in a secured location by church staff. Your application is not stored on this website.