SERVE TEAM APPLICATION Name * First Name Last Name Date of Birth * MM DD YYYY Email * Cell Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Shirt Size * Small Medium Large XLarge 2XL 3XL Select One * Male Female Status * Married Single Service I Attend: * 9:00 am 10:30 am No Preference Team Interest * (Greeter, Worship, Kids, Students, etc...) DISC Profile * Top Spiritual Gifts * SPIRITUAL FORMATION Please check yes or no for each statement. Have you committed your life to Jesus? * Yes No Have you been water baptized since committing your life to Jesus? * Yes No Are you a member of First Moss Bluff? * Yes No Have you attended a First Moss Bluff Small Group? * Yes No Have you completed all four steps of the Growth Track? * Yes No BELIEFS Please check yes or no for each statement. The full Statement of Faith begins on page 72 of the Growth Track book. I believe Jesus is God and was born of a virgin. * Yes No I believe Jesus is God’s Son and the only sacrifice for sin. * Yes No I believe Jesus rose bodily from the dead. * Yes No I believe the Holy Bible is accurate without fault. * Yes No I believe the only way to have eternal life with God the Father is through a relationship with Jesus Christ. * Yes No BACKGROUND Please check yes or no for each statement. Has anyone ever brought or threatened to bring a civil or criminal claim against you alleging physical or sexual abuse or sexual harassment? * Yes No Have you ever terminated your employment or had your employment terminated for reasons relating to allegations of physical or sexual abuse or sexual harassment? * Yes No Have you ever been charged, arrested, or convicted of a felony or misdemeanor? * Yes No If yes, list the year of occurrence: Have you ever been reprimanded as a student or employee for harassment of another individual or other inappropriate behavior with another individual? * Yes No If yes, list the year of occurrence: COMMITMENTS Please read the following sections detailed in the Growth Track book and initial each statement to express your commitment. I commit to abide by the First Moss Bluff Leadership Honor Code. (p. 60 & 84) * Yes No I have read the First Moss Bluff Abuse Policy Acknowledgment and I agree to report any suspected abuse to the staff person who oversees the area in which I serve. (p. 83) * Yes No I agree to allow First Moss Bluff to run a Background Check on me. * Yes No I agree to complete MinistrySafe training within 1 week of completing Step4 of the First Growth Track. (A link will be emailed to you) * Yes No By clicking submit, I am stating that the information contained in this application is complete, accurate, and not misleading in any way. Should my application be accepted, I agree to comply with the policies and procedures of First Moss Bluff membership. Thank you!