Kids Table Volunteer Application

This application is to be completed by those desiring a ministry position involving the supervision of minors. It is to help Table Communities provide a safe and secure environment for children who participate. Information shared is kept confidential.

Also, you can see our policies related to the safety of children below this form. Kids Table is available on the 1st and 3rd Sundays of the month for kids ages 3-8 during the Lord’s Table gathering.

Please complete the form below.

Name *
Name
Address *
Address
Phone *
Phone
Birthdate *
Birthdate
This will only be used to process background checks.
YOUR STORY
FOR YOUR PROTECTION
The following questions are a part of a process to help provide a safe and secure environment for our children. Please answer "yes" or "no." All information is confidential.
VOLUNTEER APPLICATION CONSENT RELEASE FOR BACKGROUND CHECK
During the application process for volunteer service with Table Communities, I authorize Table Communities and Gallant Background Checks LLC, and their agent to obtain background information relative to my criminal history. This report may be compiled with information from courts record repositories, departments of motor vehicles, past or present employers and educational institutions, governmental occupational licensing or registration entities, business or personal references, and any other source required to verify information that I have voluntarily supplied. BY TYPING MY NAME BELOW, I HEREBY AUTHORIZE Gallant Background Checks, LLC, on behalf of Table Communities to produce a consumer report, including an investigative consumer report, on me before I volunteer for Table Communities or at any time during the course of my volunteering with Table Communities. I release and hold harmless Table Communities and their respective employee or Gallant Background Checks LLC, their agent and employees and any person, firm, agencies and entities that disclose matters in accordance with this authorization, also from any liability that may result from the request for use of and/or disclosure of any or all of the requested information.
Full Name *
Full Name
Getting to hear God loves you while having fun.

Getting to hear God loves you while having fun.

All of our adult Kids Table workers have been screened.

For Kids Table during the Spring of 2019, we will be exploring curriculum options. At a minimum, we commit to helping the children ages 3-8 to know through the Scriptures that God loves them and wants them to use their talents to the glory of God and the good of others.

To ensure safety we commit to:

o Keep a constant count of children in the classroom.

o Inform our Kids Table point of contact, Laurie Pantelemon of any concerns that may arise.

o Fill out an incident report if a child gets hurt. A mini first aid kit is

located in the Art Room where Kids Table takes place.

o Check the child’s sticker for special instructions (allergies, special

needs, potty training).

o Crosscheck the number on children’s sticker number with the parent’s

during check out.

o Bathroom Policy - We do not let a child go to the bathroom

alone since we use the same bathroom as the adults. The bathrooms at Hayes Elementary do not have doors. The adult Kids Table worker will check to be sure nobody is in the bathroom and then wait outside.