Volunteer Renewal Application Volunteer Renewal Application Personal Information First Name Last Name Gender Male Female Birthday Age Email Home Phone (123) 456-6780 Cell Phone (123) 456-6780 Has Your Address Changed in the Last Year? Yes No Address City Postal Code In what ministry program(s) and role are you currently involved? Checkboxes Kids Ministry Student Ministry Other Other 1 Role 1 In what ministry program and role are you interested in becoming involved in? Role Kids Ministry Student Ministry Other Other 2 Role 2 Have you at any time ever been: Arrested for any reason? Yes No Convicted of, or pleaded no contest to a crime? Yes No Arrested or convicted for any abuse related crime? Yes No Are you aware of: Having any traits or tendencies that could pose any threat to children, students or others? Yes No Any reason why you should not work with children, students or others? Yes No Offences If you answered yes to any of the above questions, please explain in detail. I recognize that the WMBC is relying on the information contained herin. Accordingly, I attest and affirm that all of the information that I have provided is absolutely true and correct. I agree to abide by all the policies and procedures of WMBC and to protect the health and safety of the children and students at all times. Name Date You will need to sign a printed copy of this application before it can be processed. Submit If you are human, leave this field blank.