Volunteer Screening Form

Confidential Volunteer Information and Screening Form

We are excited to have you involved in an area of ministry that will use your talents and spiritual gifts for the Lord. In order for us to responsibly provide a safe environment for our children and youth who participate in programs, we are obligated to request some specific information. This application is to be completed by all applicants for any position (volunteer or compensated) involving interaction with the supervision or custody of minors.
This is NOT an employment application form. Persons seeking a position in the church/school as paid employees are required to complete an employment application in lieu of this Volunteer Information and Screening Form. This form is being used to assist the church/school in providing a safe and secure environment for those children and youth who participate in our programs, and have access to our facilities.
All Volunteers working with youth or children must be a member of Indian Rocks Baptist Church for a minimum of six months, or may apply for an exception by providing a pastoral recommendation from their most recent church relationship.


Parents are required to supply the following information, if applicable:

Ministry Area Request:

Personal Information:

Either at Indian Rocks or at any other church. If not at Indian Rocks, please indicate which church you served with.

Driving Record:

Offense Record:


Please note: Volunteers 14-21 years of age MUST include a Connection Group Leader or Youth/Young Adult Pastor.

Pastor, Connection Group Leader, Youth/Young Adult pastor, Church Member/Employee

Not former employers or relatives

Applicant's Statement