Elders - Grace Lititz : Grace Lititz

staff
elders

Eddy Cordero

Nevin Spade

Corey Pickle

Mike VanBelle Creative Arts Pastor

Dan Buch Director of Missions and Connections

Craig Groff Minister of Pastoral Care

Ron Moore Director of Missions and Connections

Brandon Schmidt Minister of Pastoral Care

Andy Spade Creative Arts Pastor

Pat McKinney Director of Missions and Connections

Randy Bunnell Director of Missions and Connections

Do have (regularly use) Facebook:YesNo

Preferred form of communication:

phone calltextemail

Other individuals (including spouse, children, others) who also live at the same address?:

Will you be serving with your spouse or children? If so, please list their names (grade level, if
applicable below):

Ministry Information

Have you personally and publicly accepted Jesus Christ as your Lord and Savior and are you
committed to striving to display the character of Jesus through your life?

YesNo

If yes, briefly describe your relationship with Jesus Christ:

Do you regularly attend our worship services?

YesNo

If yes, when did you start attending?

Are you currently serving in another church ministry? If so, please list:

Check all the areas you are interested in serving in:

Nursery (birth to age 2)Toddler (2s & 3s)Pre-K (4s & 5s)Elementary (Kindergarten - Grade 4)Tech/Media SpecialistCheck In/GreeterBehind the ScenesSpecial Needs Buddy

Service you would like to volunteer:

9:0010:30other

How often would you like to serve?

Twice a monthWeeklyOnce a month

Please List Reasons You Want to Serve in GraceKids:

Please List Any: Past Experiences with Children/Spiritual Gifts/Leadership Experience:

Anything else you’d like to share:

References: List 2 adults you have known for at least 2 years, who are not related to you, who have
specific knowledge of your character and ability to work with children and who fit the classifications
set forth below.

Personal Disclosure Information:

Is there any fact, circumstance, or pattern involving your background that would make it
inappropriate for you to serve with minors or would compromise the integrity of the church?

YesNo

If so please explain:

I hereby authorize Grace Church to verify all information contained in this application from any listed
references. Should my application be accepted, I agree to follow the policies of Grace Church and to
refrain
from unscriptural conduct in the performance of my services on behalf of the church. I understand that
this
personal information will be held confidential by the church staff.

Applicants Signature:

Do have (regularly use) Facebook:YesNo

Best way to contact you?

phone calltextemail

Ministry Information

Have you personally and publicly accepted Jesus Christ as your Lord and Savior and are
you committed to striving to display the character of Jesus through your life?

YesNo

If yes, briefly describe your relationship with Jesus Christ:

In what ways are you growing your faith? (Attending Church/ Youth Group/Prayer/Bible
Study, etc….)

Check all the areas you are interested in serving in:

Nursery (birth to age 2)Toddler (2s & 3s)Pre-K (4s & 5s)Elementary (Kindergarten - Grade 4)Tech/Media SpecialistCheck In/GreeterSpecial Needs HelperBehind the Scenes

Service you would like to volunteer:

9:0010:30other

Please List Reasons You Want to Serve in GraceKids:

Please List Any: Past Experiences with Children/Spiritual Gifts/Leadership Experience:

References: List 2 adults who have specific knowledge of your character and ability to
work with children and who fit the classifications set forth below.

Applicants Signature: