| Name: |
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| Address Line 1: |
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| Address Line 2: |
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| City: |
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| State: |
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| Zip: |
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| Home Phone: |
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| Work Phone: |
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| Email: |
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| Are you a member of Faith Landmarks Ministries? (required) |
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If you are a YOUTH, check this box:
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| I would like to volunteer in ONE of the following areas: |
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| I am available to volunteer the following nights: (please check boxes that apply) |
ALL NIGHTS
Monday
Tuesday
Wednesday
Thursday
Friday |
If you are an ADULT, you must fill out the following section.
If you are a YOUTH, you may simply submit the form at the bottom of the page and skip the waiver. |
| TEMPORARY WAIVER APPLICATION |
FLM does not allow adults to volunteer with children or youth, or youth to volunteer with children until they are FLM members and have submitted a complete Adult Children’s Youth Ministry application, or Youth Children’s Ministry application. However, there are times when volunteers are needed immediately, prior to final approval of the Children’s/Youth Ministry application and Criminal History check, or to assist on a one-time basis (as a teacher’s assistant or helper). In order to meet this type of need, this form has been developed to authorize an individual to perform duties for a specific Children’s or Youth Ministry function under the following guidelines until full approval and authorizations have been obtained, or on a one-time basis.
- The Two Adult Rule: No children’s or youth volunteer or teacher’s assistant is allowed to be alone with a child or youth at any time for any reason.
- Since individuals performing duties under this temporary waiver have not been properly trained as workers, they must be under the supervision of a qualified volunteer at all times.
- Individuals performing under this temporary waiver must follow the authority of the qualified worker.
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| Please check the appropriate box: |
I am an FLM Member
Date Joined |
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This is a one-time application to help during the KidzTown VBS 2008 (July 14th-18th) |
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| I understand an agree to abide by the above guidelines of this temporary waiver. By completing this online waiver, I am digitally affixing my signature to this form to be submitted to Faith Landmarks Ministries. |
Yes, I will abide by the above guidelines of this waiver.
Home Phone
Work Phone
Social Security Number |
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