Application to Serve in Ministry "*" indicates required fields Volunteer InformationFull Legal Name* First Middle Last Email* PhoneAddress (No Post Office Boxes)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Occupation*Employer*Date MM slash DD slash YYYY Primary Ministry Area* Church Child Development Center Children (Ages 0-5th grade) Youth (6th-12th grades) Missions & Outreach Recreation Congregational Care Music & Arts MOPS (Mothers of Preschoolers) Other This is the ministry area where you serve most frequently.Have you been associated with Buncombe Street Methodist Church (previously known as Buncombe Street United Methodist Church) for at least six continuous months?* Yes No Have you previously served in a ministry with children, youth, and/or vulnerable adults at BSMC?* Yes No When & what ministry area?*Please indicate the date of the last Safe Sanctuary Training you attended (if applicable):*Please indicate the date of your next anticipated training: MM slash DD slash YYYY If you need information on future scheduled training, please contact the church office. Do you have prior First Aid or CPR training?* Yes No If yes, please list previous training type and/or certifications that you currently hold:ReferencesPlease list three people that a minister or director of the church may contact as a reference. Please DO NOT include church staff or clergy as a reference. Reference #1 Name* First Last Reference #1 Phone*Reference #1 Email* What is your relationship to Reference 1?*Reference #2 Name* First Last Reference #2 Phone*Reference #2 Email* What is your relationship to Reference 2?*Reference #3 Name* First Last Reference #3 Phone*Reference #3 Email* What is your relationship to Reference 3?*Acknowledgement of Receipt of Safe Sanctuary Policy:* I have received and read a copy of the BSMC Safe Sanctuary Policy.