9:15 AM - Church Community Groups
10:30  AM - Worship Service
6:30 PM - Youth Bible Study

Home Community Groups meet throughout the week in various locations

6:00 PM - Truth Quest
6:30 PM - Adult Bible Study
6:30 PM - Youth Bible Study

Welcome to
Times & Location

HBC Children's Ministry Application

Heritage Baptist Church
Children's Ministry Application

First Name:           Middle:          Last:   

Have you used any other names?  
 If yes, Please list complete list of names and dates used:  

Present address:  

Former address:  

Home phone:         Work:         Cell:  

Email address:         Date of Birth:  

Social Security #:         Drivers License #:       State:  

Marital Status:       Spouses Name:  

Do you have certification in CPR?         Date received:  

What age children do you prefer to work with?  

What time of day would you like to serve?  

On what date will you be available?  

          In consideration of the receipt and evaluation of the application by Heritage Baptist Church, 1512 John Exum Parkway, Johnson City, TN. 37604. I hereby release Heritage Baptist Church and any individual, church, youth organizations, charity, employer, reference of any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family on account of compliance or any attempts to comply, with the authorization to completer a reference and background check.

          I understand and agree that it is critical to the mission and ministry of Heritage Baptist Church that all employees and volunteers conform to the highest standards of safety and interpersonal conduct. I affirm that I will strictly comply with Heritage Baptist Church's children's ministry policies and procedures, including those concerning the children safety and protection, sexual abuse and misconduct.

Applicant's Signature:   _________________________________________________________________

Print Name:  ______________________________________________             Date:  _________________

* Signature will be requested at interview with Children's Ministry Director and is required before applicant may begin service.