2026 Youth, Children, and Vulnerable Adult Volunteer Application

Youth, Children, and Vulnerable Adult Volunteer Application
The information obtained in this form is for the use of the Great Lakes Annual Conference of the Global Methodist Church, Inc. only, and will be handled in a confidential manner.

This form must be completed annually along with a background check.
Name

First NameLast Name
Who do feel led to serve? (Check all that apply).
Date of Birth

MonthDayYear
Date
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Other Names You Have Gone By Previously
Do you use illegal drugs?
Has your driver's license ever been suspended or revoked?
Have you ever been charged with child abuse or neglect?
Other than the above, is there any fact or circumstance in your background that would call into question your being entrusted with the supervision, guidance, and care of children, youth, or vulnerable adults?
Please explain any “Yes” answers below.
Previous Addresses Prior to Current
Please list those who are familiar with your character as it relates to working with children, youth, and vulnerable adults. Please do not list relatives; no more than
one reference should be from a member or constituent of your local church. Additional references may be submitted if deemed helpful by the applicant in allowing the Great Lakes Annual Conference to determine the applicant’s fitness for volunteer positions and qualifications. References should be familiar with the quality of the individual’s work. One of these references should be a person of the opposite sex.
References
By signing below, I understand that: The information that I have provided in this form may be verified, as necessary, by contacting persons named in this application, or by contacting any person or organization that may have information concerning me, or by conducting a criminal background check. I hereby release and agree to hold harmless from liability any person or organization that provides information.

I have received a copy, have read, understand, and agree to abide by the Great Lakes Annual Conference's Guidelines for the Protection of Children, Youth, and Vulnerable Adults.
Applicant Signature

Clear
Date of Signature

MonthDayYear
Date
Parent Signature (if applicant under 18 years old)

Clear
Upon submission of this form, your form will be reviewed, your references will be contacted, and a background check request will be sent to you via email.
Should be Empty: