Next Gen Volunteer ApplicationThis form must be completed and the background check processed (for volunteers 18+) before kids and youth volunteers are able to serve at Memorial Baptist Church. Applicants are not guaranteed a volunteer leadership role. Subject to personnel screening. Please enable JavaScript in your browser to complete this form.Application Date *Name of Applicant *FirstMiddleLastPreferred Nameif applicableGender *MaleFemalePhysical Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Mobile Carrier *Have you at any time been convicted or pleaded no contest or guilty to a crime? *YesNoHave you at any time engaged in or been accused of any child molestation, exploitation, or abuse? *YesNoList two references below with names and current phone numbers. *List any spiritual gifts, callings, trainings, education, or other factors that have prepared you for children or youth leadership:What is you favorite treat? (Candy, dessert, or other, etc.) *I recognize that Williamston Memorial Baptist Church is relying on the accuracy of the information contained herein. Accordingly, I attest and affirm that all the information that I have provided is true and correct. I authorize Williamston Memorial Baptist Church personnel to contact any person or entity listed in the application, and I further authorize any such person or entity to provide MBC with information, opinions, and impressions relating to my background or qualification. I further understand that a criminal records check may be conducted on me, and I consent to such investigations. I, the applicant listed in this application, hereby authorize Memorial Baptist Church to conduct a background check by any entity chosen by Memorial Baptist Church specifically for conducting this search to release information regarding any record of charges or convictions in any criminal file maintained on me, whether the said file is a local, state, or national file, and including but not limited to accusations and convictions for crimes committed against minors, to the fullest extent permitted by state and federal law. I do release Memorial Baptist Church and other entities from all liability that may result from any such disclosure made in response to this request. I acknowledge that this is a legal and binding document. I affirm that I have read the full document and understand that I will be expected to uphold the directions and standards made clear in this document. Clear Signature Signature Required if 18+Submit