Today's Date *

MM

DD

YYYY

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Do you attend church? *

YES

NO

Volunteer Position *

Please choose your availability for coaching.

I am available to HEAD COACH

I am available to ASSISTANT COACH

I am available to do either - whatever is needed

I want to volunteer to OFFICIATE

Coaching children

I will be coaching my child

I will be coaching all of my children

I will be coaching one of my children but not all of my children (list only the children you are coachign below)

I do not have children in the program and will be coaching the following:

K4

K5

1st/2nd grade league

3rd-6th grade girls

3rd/4th grade boys

5th/6th grade boys

678 Volleyball (girls)

Name of first child *

First Name

Last Name

Gender *

Please note that some age leagues are co-ed.

Girls

Boys

Name of second child

First Name

Last Name

Gender

Please note that some age leagues are co-ed.

Girls

Boys

Name of third child

First Name

Last Name

Gender

Please note that some age leagues are co-ed.

Girls

Boys

Practice time preference *

K4 & K5 are only 5:30pm practice times. 7:30pm practice is a choice for 3rd-6th grade basketball only.

5:30pm

6:30pm

7:30pm

Available any time

C-SPORTS COACHES CODE OF CONDUCT - CHRIST UNITED CHURCH *

_Share the love of Jesus Christ with each player. _All practices must be done on CU campus. _No extra practices are allowed. _Have prayer during EVERY practice and before EVERY race or game with the other team. _Home team coach will lead prayer before the race or game _All teams must do your Team Devotion at the midpoint of practice _Each child must play at least half of the time or game. _Teach the fundamentals of your sport to all of your players, instill confidence and boost self-esteem. _Communicate with other coaches to keep playing field even _Make every effort to not run up the score or speed up the runners beyond their ability, *See the GRACE rule _At the end of each game or race coaches and players must shake hands _Prior to start of a game coaches will have a player roster (PGR) for the game with names, and numbers of each player and when they are playing. For running road races, coaches must have a list of runners who have signed up to participate. _Use positive affirmation with parents, players and coaches _Under no circumstance make negative comments to the officials during the race, game or in the presence of parents or players. _Support the official with positive comments. _For games, K4 and K5, 1st & 2nd grade coaches will referee their own game, 3rd - 6th grade coaches will referee the game before or after your game – If you have a 6pm game then you ref the 7pm game – If you have a 7pm game then you ref the 6pm game Coaches in violation of these rules will be asked to make corrections or forfeit the game . Coaches found in a repeated violation will not be allowed to coach the next game and must explain to team and parents the violation. Prior to coaching for CU you must sign one of these forms and it will be kept on record. I agree to uphold the CU C-Sports Coaches Code of Conduct and have read and understand the Safe Sanctuary Acknowledgement.

I agree.

Safe Sanctuaries Adult Volunteer Application Statement *

If you are a new volunteer, you will complete this form next. If you are a returning volunteer and need to review your application, please contact the red desk staff.

I will be completing the Safe Sanctuaries Covenant and Adult Application for the first time.

I have previously completed the Safe Sanctuaries Covenant and Adult Volunteer application and I verify that there have been no changes.

I have previously completed the Safe Sanctuaries Covenant and Adult Volunteer application and I need to update my information.

*

We are committed to providing a safe and secure environment for all children, youth, at-risk adults, and volunteers who participate in ministries and activities sponsored by our church. The following policy statements reflect our congregation’s commitment to preserving this church as a holy place of safety and protection for all who would enter and as a place in which all people can experience the love of God through relationships with others. • Adults who have been convicted of child abuse of any kind are not allowed to volunteer to work with children or youth in any church-sponsored activity. • Adult survivors of child abuse need the love and support of our congregation. Any adult survivor who desires to volunteer in some capacity to work with children or youth is encouraged to discuss his or her willingness with one of the church’s ministers before accepting an assignment. • Adult volunteers with children and youth shall observe the “Two-Adult Rule” at all times so that no adult is ever alone with children or youth. • Adult volunteers with children and youth shall attend training and educational events provided by the church to keep volunteers informed of church policies and state laws regarding child abuse. • Adult volunteers shall immediately report to their supervisor any behavior that seems abusive or inappropriate. Please mark each of the statements to which you will commit: _ As a volunteer in this congregation, I agree to observe and abide by all church policies regarding working in ministries with children and youth. _ As a volunteer in this congregation, I agree to observe the “Two-Adult Rule” at all times. _ As a volunteer in this congregation, I agree to participate in training and education events provided by the church related to my volunteer assignment. _ As a volunteer in this congregation, I agree to promptly report abusive or inappropriate behavior to the appropriate Ministry Director. _ As a volunteer in this congregation, I agree to discuss with a minister of this congregation my experience, if any, as a survivor of child abuse. _ As a volunteer in this congregation, I agree to inform a minister of this congregation if I have ever been convicted of child abuse. _ After reading this participation covenant, I agree to abide by the policies set forth above.

YES

Name *

First Name

Last Name

Today's Date *

MM

DD

YYYY

Areas where you would like to serve: *

Children

Middle School

High School

Legal Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Other Names (e.g. maiden, aliases, nicknames):

Leave blank if N/A

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Main Phone *

(###)

###

####

Cell Phone *

(###)

###

####

Are you available: *

DAYS

WEEKENDS

NIGHTS

Have you ever been charged, convicted of, or pled guilty to a crime, either a misdemeanor or a felony (including but not limited to drug-related charges, child abuse, and other crimes of violence, theft, or motor vehicle violations)? *

YES

NO

Would you be available for periodic volunteer training sessions? *

YES

NO

Are you currently certified in First Aid? *

YES

NO

Are you currently certified in CPR? *

YES

NO

Do you have a personal relationship with Jesus Christ? *

YES

NO

Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Daytime Phone *

(###)

###

####

Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Daytime Phone *

(###)

###

####

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Daytime Phone *

(###)

###

####

Today's Date *

MM

DD

YYYY

Date of Birth *

MM

DD

YYYY

Driver's License Expiration Date *

MM

DD

YYYY

Main Phone *

(###)

###

####

Gender *

Female

Male

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

This form authorizes the church to obtain background information and must be completed by the applicant. The church must keep this completed form on file for at least five years after requesting a background check. *

I, the undersigned applicant (also known as “consumer”), authorize Christ United Church through its independent contractors, Protect My Ministry and/or First Advantage/Enterprise Advantage, to procure background information (also known as a “consumer report and/or investigative consumer report”) about me. This report may include my driving history, including any traffic citations; Social Security Number verification; driver’s license verification; present and former addresses; criminal and civil history records; and sex offender records.

I understand that I am entitled to a complete copy of any background information report of which I am subject upon my request to Christ United Church, if such is made within a reasonable time from the date it was produced. I also understand that I may receive a written summary of my rights under the Fair Credit Reporting Act.

Today's Date *

MM

DD

YYYY