Application for Volunteering with KLIFE

KLIFE MINISTRIES HAS ZERO TOLERANCE FOR ABUSE. WE TAKE ABUSE SERIOUSLY! TO ENSURE THE SAFETY OF THE STUDENTS INVOLVED, COMPLETION OF THIS APPLICATION IS MANDATORY AS ONE STEP IN OUR SCREENING PROCESS. INTERACTIONS WITH STUDENTS WILL BE MONITORED AND A CODE OF CONDUCT MUST BE SIGNED AND ADHERED TO.

PERSONAL CONTACT INFORMATION

Name*
Home Address*
School Address

LEGAL QUESTIONS

In order to protect children and youth, KLIFE strictly prohibits interaction with children or youth by anyone known to have a civil or criminal record of child abuse, or who has admitted to sexually abusing children or youth, or has a paraphiliac diagnosis (i.e. pedophilia, exhibitionism, voyeurism) as defined by the American Psychiatric Association. In order to keep our children safe, KLIFE requires that all those who work with or around children and/or youth be screened. This screening includes completion of this application, reference checks, sexual offender registry checks, and criminal history checks. In order to complete your screening, we require that you respond to all the questions in this application, including the following questions. (Information recorded on this document will be kept confidential)

KLIFE checks references and will conduct criminal background investigations on all potential volunteers. Is there anything this process might disclose that you want to explain?*
Have, you, at any time, been involved in or accused, rightly or wrongly, of sexual abuse, neglect or mistreatment (emotional or physical) of children or youth?*
Have you ever been sued in a civil court of law where the allegations in the suit involved illegal, inappropriate, or sexual conduct or contact with a minor child?*
Have you ever been accused or convicted of possession/sales of controlled abuses or of driving under the influence of alcohol or drugs?*
Are you using illegal drugs?*
Have you ever been convicted of a crime or municipal ordinance violation in any federal, state or municipal court?*
Have you ever pled guilty, been found guilty, entered a plea nolo contendere or an alford plea of guilty for any offense, including any offense involving a minor?*
Have you ever been involved romantically or sexually with any student in youth ministry or had sexual relations with any minor after you became an adult?*
Have your ever had a paraphiliac diagnosis (pedophilia, exhibitionism, or voyeurism)?*
Have you ever been asked to step away from ministry or work with children or youth in any setting, paid or volunteer?*
Is there anything in your past or current life that might be a problem if we found out about it later?*
Have you ever been the victim of any form of child abuse?*
In the last five years, have you been diagnosed, treated, or struggled with any mental illness, alcoholism, substance abuse, suicidal intent, pornography addiction, or other ailment, which has any possibility of affecting your work with students?*
Have you ever been placed on probation, received a Suspended Execution of Sentence or Suspended Imposition of Sentence?*
Are you or have you ever been placed on any local, state or federal registry for sex offenders?*
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SPIRITUAL BACKGROUND

Do you have a regular plan for Bible study and spiritual growth?*
Are you actively involved in your church? *

MINISTRY INVOLVEMENT

With what age group do you enjoy ministry?*
Select all that apply
Have you ever been discipled by someone?*
Have you ever discipled someone over a period of time?*

PERSONAL INFORMATION

LIST THREE REFERENCES (Not relatives)

References: Please provide three character references that can identify your strengths and weaknesses and describe your background and ability to relate with kids.

REFERENCE #1 (Pastor or Ministry Leader)

Name*

REFERENCE #2

Name*

REFERENCE #3

Name*

CODE OF CONDUCT

Because we are committed to fostering the healthy growth and development of students involved with KLIFE, and are mindful that there are individuals who might become involved in our ministry program to have access to and engage in inappropriate activities with students, we have instituted a Code of Conduct program for promoting a safe environment for our youth ministry. This program consists of three components:

  1. KLIFE Student Protection Manual;
  2. Screening Process for Volunteers; and
  3. Ongoing Training & Monitoring Program

We realize that carrying out these three components may involve some additional burden for volunteers involved in our ministry. We know and trust, however, that those involved in our ministry appreciate that the sole motivation for this program is to protect and provide for the healthy development of our young people. We believe that our volunteer workers will find the burden slight when compared to the benefit it provides our ministry and for the students.

Please note: Our Code of Conduct Program is not intended to be interpreted as a contract for any purpose, including an employment contract.

Policies and Procedures for Working with KLIFE students 

Employees and volunteers involved in our ministry are expected to display the highest Christian values and morals in all formal and informal activities with young people. Employees and volunteers are expected to provide a good example and not engage in any behavior or conversation that could lead young people into inappropriate conduct themselves. In no circumstances shall employees or volunteers engage in any sexual or dating relationships or activities with young people involved in the ministry. Employees and volunteers are expected to use language and speech that is free of comments or jokes that may have a sexual meaning, that are suggestive, off-color or lewd or that are otherwise inappropriate in the presence of young people. Employees and volunteers are expected to avoid using literature or videos in our programs or activities that have lewd or sexual content. Employees and volunteers are expected to avoid any physical touching or activity that might produce an appearance of impropriety.

After observation of the ministry, time spent in prayer, and understanding the commitment involved with being a KLIFE leader/volunteer, I choose to commit to the following:

I acknowledge the Lordship of Jesus Christ in my life and I have a personal relationship with Him. I am committed toward growing and maturing in my relationship with God through quiet times, witnessing, scripture memory, active attendance at church, and involvement in accountability.

I commit to be consistent and timely to the program(s) I commit myself to. I also commit to communicate with the Chapter Director or Staff if I will be absent.

I commit to demonstrating in my lifestyle the fruit of the Spirit

I commit to pray for the ministry

I commit to meet regularly with my small group (if leading a small group)

I commit to adhere to the accountability mechanisms set forth by the Staff (i.e. snapshots, ongoing communication)

I commit to adhere to the curriculum plan, consistently communicating with the staff what material is being used for small group

I commit to adhere to the mission, vision, policies, core values, and statements of faith of KLIFE, Inc.

I commit to be actively involved, being proactive and show servant-leadership by having an attitude of whatever it takes to get the job done. This includes attending leader/volunteer meetings and attending clubs and events.

I commit to doing all things with excellence. Whether it is contact work, leading a small group, or teaching the Bible, etc., I will take the time to be totally prepared.

I commit to KLIFE for at least the full school year.

I commit to be praying for my small group, clubs, board, the KLIFE staff, and other leaders/volunteers on a regular basis. Ephesians 6:18a “With all prayer and petition pray at all times in the Spirit, and with this in view, be on alert with all perseverance and petition for all the saints

I commit to staying focused on the ministry of the Lord when around students. Matthew 18:6 “...but whoever causes one of the least of these little ones who believe in Me to stumble, it would be better for him to have a millstone hung around his neck, and to be drowned in the depth of the sea.”

I commit to dressing modestly when at youth functions or around students. Romans 14:13 “Therefore let us not judge one another anymore, but rather determine this...not to put an obstacle or a stumbling block in a brother’s way.”

I commit to not use “potty” humor/foul language, but will edify students and leaders with my speech. Ephesians 4:29 “Let no unwholesome word proceed from your mouth, but only such a word as is good for edification according to the need of the moment, that it may give grace to those who hear.”

I commit to abstain from the use of all tobacco products while a serving as a KLIFE volunteer/leader. Romans 14:21 “It is good not to eat meat or to drink wine, or to do anything by which your brother stumbles.”

I commit to upholding the alcohol policy in place for KLIFE Ministries. (See attached alcohol policy with additional signature requirement.)

I commit to driving safely, obey all traffic laws and adhere to KLIFE transportation policies when transporting students for a KLIFE event. Romans 13:1 “Let every person be in subjection to the governing authorities. For there is no authority except from God, and those which exist are established by God.”

I commit to never be alone with students of the opposite sex (ex. car rides, at the KLIFE House, etc.)

I also commit to remaining pure sexually in accordance with Biblical precepts. Ephesians 5:3 “But do not let immorality or any impurity or greed even be named among you, as is proper among saints...”

When around parents, I commit to communicate Christ, being transparent with all that is going on with KLIFE (i.e. small groups, clubs, retreats, etc.). I will remember that it is a privilege to lock-arms with them in the raising of there children.

The following procedures will be followed in working with our KLIFE students within our ministry activities:

Counseling One-to-One

In light of the increasing number of tragedies that have shocked the Christian community, it is our desire to set in place a policy in regards to KLIFE staff and volunteers having one-to-one interaction with a student. We know that “our adversary, the devil, prowls about like a roaring lion, seeking someone to devour” (I Peter 5:8). Our desire, then, is to build into our lives and our ministry safeguards of accountability that would help to keep us from situations that could damage the integrity of our ministry. We want to be sure that our policies and procedures not only set up a framework where inappropriate behavior is difficult to happen, but also where any appearance of impropriety is avoided. It's important that we set expectations and requirements that protect students and families on all fronts. As such, the following policy calls for:

• Professional Counseling should be left to the professionals. Avoid personal experience if possible. All personal counseling should be encouraging, uplifting, Christ-centered.

• No private one-to-one situations. The goal is to be able to have a private conversation while being visible to the public. One-to-ones are allowed in the student’s home if a parent is present and never in a bedroom or behind any closed door. When necessary, get a third person involved. Parents are required to give consent for any staff/volunteer to have a one-to-one with their student. Please choose appropriate places and settings for one-to-one conversations.

• A staff member who is alone at the KLIFE House is to never host a visit by a student inside the quarters of the house. Always make sure there are others present. Always keep the doors open within the K-Life house, making sure there are others present in the room (or in an adjoining room). If a student arrives unannounced immediately escort the student outside to a publicly viewed place until someone else arrives.

• Always encourage same-sex counseling/discipling relationships. Steer those members of the opposite sex who are seeking one-to-one help to an appropriate staff member or volunteer leader.

• Never give a ride to a member of the opposite gender by yourself. If you need to help them with transportation, make sure to take someone with you.

• Always be careful! Remember that the moment you start believing that you are above temptation is the moment you are the most vulnerable. A mere accusation could cause serious problems. Build safeguards of accountability into your life and ministry!

Student Discipline

As in any situation where students are involved, there is sometimes the need for discipline. Our policy in these situations is as follows: First, we never — ever — strike a student physically in a disciplining situation. Secondly, we consider involvement with KLIFE and its activities a privilege. Should an “out of control” situation arise, the Chapter Director should contact the parents of the child involved, along with a designated Local board member, and seek a resolution to the situation (while at the same time restricting that young person’s access to KLIFE activities until the matter has been resolved).

Student Communication

I will agree to gaining parental consent before having any personal communication (digital, written, phone calls) with students participating in KLIFE activities. 

 KLIFE Staff/Volunteer Commitment Statement

The following statements reflect KLIFE’s commitment to preserving a healthy and positive place where people can experience the love of God through appropriate relationships. Please read and understand each one before signing.

1. I commit that I have never abused minors (either sexual abuse, physical abuse, or emotional abuse), been convicted or arrested for child abuse.

2. I commit that I will abide by the KLIFE Student Protection Plan.

3. I understand that KLIFE maintains a “zero tolerance” policy to child abuse, and that any staff member found in opposition to or violating this policy may be terminated immediately.

4. I commit to attending training and educational events provided by KLIFE to keep informed of all policies regarding child abuse.

5. I commit that I will not show inappropriate pictures or videos, use inappropriate sexual or vulgar language, touch children inappropriately, or participate in sexual horseplay with children.

6. I commit to immediately report any behavior that seems suspicious, questionable, abusive or inappropriate between: peer to peer, staff to child, and staff to staff.

7. I understand that ALL reporting (by law) is kept confidential and will in no way harm my position with KLIFE unless false allegations are found to be made.

8. I understand that child sexual abuse is punishable by law and that KLIFE is bound by law to report allegations of sexual abuse to the proper authorities.

I have read KLIFE’s Code of Conduct and this Commitment Statement, and I agree to observe and abide by the policies set forth above.

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