*Please note that to serve in student ministry, you must be graduated from high school for at least 1 year.

Church by the Glades Student Ministry Application & Background Check

Name *

Birthdate * +

Gender *

Male

Female

Cell Phone Number *

Email *

Address *

City *

State *

Zip *

Where are you interested in serving? (You may select more than one) *

Middle School Wave -- Wednesdays, 6:00pm-8:00pm

High School Wave -- Wednesdays, 7:00pm-9:30pm

Sample Road Wave -- Wednesdays 7:00pm-8:30pm

The Wave On Campus -- Hours vary throughout the week

Please select the middle school area that interests you the most *

Small Groups

Guest Services

Security

Please select the high school area that interests you the most *

Small Groups

Guest Services

Security

CPR certified or medically trained? *

Have you been convicted of a crime? *

If yes, please explain

Describe your relationship with Jesus *

Describe your experience working with teens (paid or volunteer) *

How long have you been attending CBG? *

Are you willing to commit for at least one year from your starting date? *

References (2 people who you are not related to)

Name #1 *

Phone Number *

Name #2 *

Phone Number *

Please attached a recent photo of you