One to One Care Volunteer Application

(formerly Stephen Ministry)

Please note: One to One Training sessions occur every Tuesday evening from Sept. to Feb. except for holiday weeks.

Following training sessions - OTO volunteers meet on the first & third Tuesdays in either the afternoon or evening yearlong.

Though we realize there may be occasional Tuesdays you have another commitment, having availability on the first and third Tuesday of the month is a requirement for all One to One Caregivers. 

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Date of Birth:
Occupation:
*Marital Status:
*How long have you been attending Blackhawk on a regular basis?:
*Are you a member?:
*Describe why you are interested in becoming a One to One Caregiver.
*What spiritual gifts or strengths do you believe God has given you that would help you serve effectively as a One to One Caregiver?
*In what ways do you think you would benefit personally from your training and service as a One to One Caregiver?
*Based on your current understanding of what it means to be a One to One Caregiver, what do you think would be difficult or a challenging aspect of this role for you?
*How would people who know you describe the way you relate to others?
*Due to the time invested in the initial training, we encourage volunteers to serve for two years following the training? Do you think this would be possible for you?
What other ministries are you currently involved with? :
*Are there other ministries you are considering getting involved in?:
*Do you believe you will have eternal life in God's presence? Why or why not?
*Please state briefly how and when you accepted Christ as your Savior. 
Here are some questions that may help you in your response; What was your life like before you accepted Christ? Where did you find your security? How did those things let you down? How did you come to Christ? Why did you decide to accept Christ? How is your life different now?


BACKGROUND INFORMATION

*Are there any past or present issues (spiritual, physical, emotional/mental, social), which would hinder your ability to work appropriately within the care ministry?
*Do you have any physical limitations that will prevent you from performing certain types of activities relating to care ministry work?
*Have you ever been accused, charged or convicted of a criminal offense (felony or misdemeanor other than a parking violation)?
*Have you struggled in the past or are you currently struggling with any addictions (alcohol, drug, pornography, etc.)?
*Have you ever received treatment for any emotional or psychiatric problems?
*Is there anything in your past that may come up in the future that could harm the ministry at Blackhawk?
If yes, please explain.
*Blackhawk completes background checks upon the start of service, and then every three years for continued service. In the time between background checks, I understand that I am required to self-report any misdemeanor charges/convictions, felony charges/convictions or alcohol- or drug-related citations I receive during the season I am in service to Blackhawk.
An interview will be scheduled with One to One Care applicants.

Note: Many Caregivers have been made stronger in their care-giving ministry through the care they themselves have received, including care from mental health professionals. Your One to One Care Leaders affirm the work of mental health professionals, who have helped many individuals to experience growth and healing. Members of the One to One Leadership Team request this information because they want to be as fully informed as possible about their One to One Caregivers.



REFERENCES
:
Please provide the following references for us to contact.
1 Blackhawk Ministry Reference(Blackhawk staff, Ministry leaders, Life Group Leaders)


2 Character References(Coworker, Friend who has known you for at least 3 years)

(1.) List one reference from a Blackhawk Church Ministry.
*Name:
Phone:
*Relationship to applicant:
*Email Address:
(2.) List one person as a character reference.
* Name:
Phone:
* Relationship to applicant:
* Email Address:
(3.) List another person as a character reference.
* Name :
Phone:
* Relationship to applicant:
* Email :


STATEMENTS OF AGREEMENT
I have trusted Jesus Christ alone for my salvation.:
I will strive to live a life that honors Christ in all that I do.:
I will strive to grow in my relationship with Christ.:
I will be faithful in attending regular worship services.:
I will honor the leaders and staff of the church.:
I will be faithful to the responsibilities of my volunteer position.:
I will give ample (30 days) notice when resigning my position.:


AUTHENTICITY, AUTHORIZATION, AND RELEASE
I agree that the information provided in this application is true, and I authorize the Church (Blackhawk Evangelical Free Church and/or its representative) to verify the information on this form. I authorize any references, churches or organizations listed in this application to give the Church any information (including opinions) that they may have regarding my character and suitability for volunteer work. I hereby release any individual, church, organization, charity, employer, or reference from any and all liability for any damages that may at any time result to me, my heirs, or family, on account of compliance or any attempt to comply with this authorization. Should my application be accepted I agree to adhere to all policies of Blackhawk Church.
*Signature:
*Today's Date: