New Volunteer Application

Name Name First Last
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone - ### - ### ####
Email
Best Time/Manner to Contact

Best Time/Manner to Contact Day Time Email Any Time Phone Evening Other Other
Checkboxes

Checkboxes Anderson Elkhart ETC (Goshen) Frankfort Ft Wayne Gaylor Hammond Indianapolis Lafayette Muncie Corporate Office
How would you like to serve our students?

How would you like to serve our students? IMPACT OUR JOB TRAINING PROGRAMS (Subcontract a product or service with a student-run micro-business, Coach a student-run micro-business, Host a satellite school in your company, Host a student work team, Hire a graduate, Connect us to new business partners, Host an apprentice, and/or Host an intern) OFFER COMMUNITY SERVICE (Schedule your business team for service work with our students) ASSIST IN THE CLASSROOM (Tutoring, Clerical work, Reading with Students, Teaching a class, and/or building maintenance) PRAYER (Add a student or campus to your: Personal prayer list, Corporate prayer list, and/or Church prayer list) OTHER (please specify) OTHER (please specify)

The Crossing cares about the youth in our programs and desires to ensure their safety while they are in our supervision. Because we care for youth, our organization joins in asking any new staff member or volunteer who will be interacting with youth, to complete this disclosure form.

Please answer the following questions:
	Yes	No
Have you ever been arrested, convicted or pleaded guilty to a crime?	Have you ever been arrested, convicted or pleaded guilty to a crime?Yes	Have you ever been arrested, convicted or pleaded guilty to a crime?No
Have you ever been accused, charged or alleged to have, or have you ever committed any act of neglecting, abusing or molesting a child?	Have you ever been accused, charged or alleged to have, or have you ever committed any act of neglecting, abusing or molesting a child?Yes	Have you ever been accused, charged or alleged to have, or have you ever committed any act of neglecting, abusing or molesting a child?No
Have you ever been concerned that you may have an addiction to drugs, alcohol or pornography; or has anyone ever suggested that you may have a problem with any of the above?	Have you ever been concerned that you may have an addiction to drugs, alcohol or pornography; or has anyone ever suggested that you may have a problem with any of the above?Yes	Have you ever been concerned that you may have an addiction to drugs, alcohol or pornography; or has anyone ever suggested that you may have a problem with any of the above?No
Have you been convicted of the possession, use or sale of drugs within the last seven years?	Have you been convicted of the possession, use or sale of drugs within the last seven years?Yes	Have you been convicted of the possession, use or sale of drugs within the last seven years?No
Have you been released from incarceration for a conviction of the posession, use or sale of drugs within the last seven years?	Have you been released from incarceration for a conviction of the posession, use or sale of drugs within the last seven years?Yes	Have you been released from incarceration for a conviction of the posession, use or sale of drugs within the last seven years?No
Within the past 30 days have you abused alcohol, legal or illegal drugs?	Within the past 30 days have you abused alcohol, legal or illegal drugs?Yes	Within the past 30 days have you abused alcohol, legal or illegal drugs?No
Has your driver's license been suspended or revoked within the last seven years?	Has your driver's license been suspended or revoked within the last seven years?Yes	Has your driver's license been suspended or revoked within the last seven years?No
Is there any fact, circumstance or pattern involving your background that would make it inappropriate for you to serve with minors or would compromise the integrity of the Crossing?	Is there any fact, circumstance or pattern involving your background that would make it inappropriate for you to serve with minors or would compromise the integrity of the Crossing?Yes	Is there any fact, circumstance or pattern involving your background that would make it inappropriate for you to serve with minors or would compromise the integrity of the Crossing?No

If you answered "yes" to any of the above questions, please provide an explanation:
Crossing Statement of Faith & Belief

The Crossing strives to provide an environment marked by speech and behavior that is consistent with biblical teaching and principles. As such, all Crossing staff and volunteers are to model our faith and core values in professional settings, their personal lives, and in any public statements (e.g., Social Media). Our Statement of Faith & Belief guides the teaching practices of our character education curriculum, instruction, and programs.

1. The Bible is the inspired Word of God and the lone authority for Christian belief and practice. (2 Timothy 3:16-17; 2 Peter 1:20-21)

2. God reveals himself to exist coequal and coeternal in three persons: Father, Son, and Holy Spirit. (Matthew 3:13-17; Genesis 1:26)

3. The Father is the creator and sustainer of all things. (Genesis 1:1-2:4; Revelation 4:11)

4. Jesus Christ is fully God and fully man. His sacrificial death paid for the sins of all people, and his bodily resurrection secured bodily life eternal to all those with faith in him. (John 1:1; Colossians 1:15-20)

5. Only through faith in Jesus Christ can a human being find forgiveness of sins, enjoy a relationship with God, and hold the promise of eternal life. (Romans 10:9-10; Ephesians 2:8-9)

6. The Holy Spirit creates and sustains faith in Jesus Christ. This is the means by which Christians feel conviction of their sin, need for a Savior, and experience the freedom of forgiveness. The Holy Spirit further acts in faith to motivate Christians to live lives transformed according to God’s will. (John 16:7-15; Romans 8:9-11)

7. Human Beings are God’s most beloved creation. They are created male and female in God’s own image, and should be protected from conception to natural death. Sin has broken the fullness of God’s image in creation and separated all people from a right relationship with God. Human beings are conceived sinful and remain under the influence of sin. (Genesis 1:26-28; Psalm 139:13-16; Romans 3:23; Romans 5:12)

8. Relationships are God’s gifts to his creation through which we receive support and encouragement. The most significant human relationship is marriage. In marriage, a male husband and female wife love and honor each other and enjoy the only proper expression of sexual intimacy. (Genesis 2:18-25; Ephesians 5:22-33)

9. God’s Kingdom is all places where God dwells with his people. This includes heaven and earth. God exercises his power according to his own will and out of love for his people at all times and in all places. (Luke 17:20-21)

10. Heaven and hell are actual physical destinations, where all people will end up according to judgment by God. Christ followers are judged according to the work of Jesus Christ alone through faith in him. (Matthew 25:31-45)

Students are not required to adhere to the statement of faith and belief. Students will learn of its tenants, while at the Crossing, through the daily work and service of the staff. Our mission to transform lives is practiced by sharing our faith and belief with each other, our students, and our communities. We welcome all potential students and families to join the Crossing family regardless of faith or belief.

Crossing Statement of Faith & Belief

The Crossing strives to provide an environment marked by speech and behavior that is consistent with biblical teaching and principles. As such, all Crossing staff and volunteers are to model our faith and core values in professional settings, their personal lives, and in any public statements (e.g., Social Media). Our Statement of Faith & Belief guides the teaching practices of our character education curriculum, instruction, and programs.

1. The Bible is the inspired Word of God and the lone authority for Christian belief and practice. (2 Timothy 3:16-17; 2 Peter 1:20-21)

2. God reveals himself to exist coequal and coeternal in three persons: Father, Son, and Holy Spirit. (Matthew 3:13-17; Genesis 1:26)

3. The Father is the creator and sustainer of all things. (Genesis 1:1-2:4; Revelation 4:11)

4. Jesus Christ is fully God and fully man. His sacrificial death paid for the sins of all people, and his bodily resurrection secured bodily life eternal to all those with faith in him. (John 1:1; Colossians 1:15-20)

5. Only through faith in Jesus Christ can a human being find forgiveness of sins, enjoy a relationship with God, and hold the promise of eternal life. (Romans 10:9-10; Ephesians 2:8-9)

6. The Holy Spirit creates and sustains faith in Jesus Christ. This is the means by which Christians feel conviction of their sin, need for a Savior, and experience the freedom of forgiveness. The Holy Spirit further acts in faith to motivate Christians to live lives transformed according to God’s will. (John 16:7-15; Romans 8:9-11)

7. Human Beings are God’s most beloved creation. They are created male and female in God’s own image, and should be protected from conception to natural death. Sin has broken the fullness of God’s image in creation and separated all people from a right relationship with God. Human beings are conceived sinful and remain under the influence of sin. (Genesis 1:26-28; Psalm 139:13-16; Romans 3:23; Romans 5:12)

8. Relationships are God’s gifts to his creation through which we receive support and encouragement. The most significant human relationship is marriage. In marriage, a male husband and female wife love and honor each other and enjoy the only proper expression of sexual intimacy. (Genesis 2:18-25; Ephesians 5:22-33)

9. God’s Kingdom is all places where God dwells with his people. This includes heaven and earth. God exercises his power according to his own will and out of love for his people at all times and in all places. (Luke 17:20-21)

10. Heaven and hell are actual physical destinations, where all people will end up according to judgment by God. Christ followers are judged according to the work of Jesus Christ alone through faith in him. (Matthew 25:31-45)

Students are not required to adhere to the statement of faith and belief. Students will learn of its tenants, while at the Crossing, through the daily work and service of the staff. Our mission to transform lives is practiced by sharing our faith and belief with each other, our students, and our communities. We welcome all potential students and families to join the Crossing family regardless of faith or belief. I understand the Statement of Faith and agree to model it to the best of my ability I need to talk with someone for more understanding
List all previous church and non-church work involving children
(organization name, city, state, type of work):
Volunteer policy: Any potential volunteer convicted of a felony, or misdemeanor involving child endangerment, sexual deviance, or violence is not eligible to become a volunteer. Any volunteer candidate convicted of a misdemeanor directly related to the volunteer duties is not eligible to volunteer with the Crossing. Candidates convicted of any other misdemeanors that occurred within 7 years of the volunteer application date could be eligible to volunteer at the discretion of the Volunteer Coordinator. All other candidates are fully eligible volunteers without bias.

Volunteer policy: Any potential volunteer convicted of a felony, or misdemeanor involving child endangerment, sexual deviance, or violence is not eligible to become a volunteer. Any volunteer candidate convicted of a misdemeanor directly related to the volunteer duties is not eligible to volunteer with the Crossing. Candidates convicted of any other misdemeanors that occurred within 7 years of the volunteer application date could be eligible to volunteer at the discretion of the Volunteer Coordinator. All other candidates are fully eligible volunteers without bias. I have read and understand this volunteer policy
I authorize any references or churches listed in this application to give you any information (including opinions) that they have regarding my character.

I agree to live by the understanding that, as a person in authority, it is my responsibility to avoid sexual contact with children and/or youth, even if one attempts to initiate the contact.

I will communicate with Crossing staff regarding discipline, agreeing that under no circumstance will I use spanking, neck or choke holds, ear or hair pulling or any other corporal punishment as a means of discipline.

I certify that the information I have provided is true and correct. If it is found that the answers given are untrue, I understand it may be a cause for dismissal.

Draw your signature into the box below:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Background Check: Safeguarding the well-being of our Students and Staff is important at the Crossing. All volunteers are required to undergo a criminal background check. This online service costs $12.95 per person and is good for three (3) years. Please allow for up to two (2) weeks for processing and status determination. Any volunteer who will be working with students is required to have an expanded background check completed with Safe Hiring Solutions. The link for this is located on our website, crossingeducation.com/communitypartners/.

Background Check: Safeguarding the well-being of our Students and Staff is important at the Crossing. All volunteers are required to undergo a criminal background check. This online service costs $12.95 per person and is good for three (3) years. Please allow for up to two (2) weeks for processing and status determination. Any volunteer who will be working with students is required to have an expanded background check completed with Safe Hiring Solutions. The link for this is located on our website, crossingeducation.com/communitypartners/. I understand in order to volunteer I will need to complete a Safe Hiring Solutions background check
NOTICE REGARDING BACKGROUND INVESTIGATION

A consumer report (background screening report) and/or an investigative consumer report which may include information obtained through personal interviews concerning your character, employment history, general reputation, personal characteristics, police record, education, qualifications, motor vehicle record, and mode of living, may be obtained in connection with your application for volunteer services with the Crossing National, Inc. A consumer report and/or an investigative consumer report may be obtained at any time during the application process or during your volunteer services with the Crossing National, Inc. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Safe Hiring Solutions LLC, P.O. Box 186, Crawfordsville, IN 47933 888-215-8296.

NOTICE REGARDING BACKGROUND INVESTIGATION

A consumer report (background screening report) and/or an investigative consumer report which may include information obtained through personal interviews concerning your character, employment history, general reputation, personal characteristics, police record, education, qualifications, motor vehicle record, and mode of living, may be obtained in connection with your application for volunteer services with the Crossing National, Inc. A consumer report and/or an investigative consumer report may be obtained at any time during the application process or during your volunteer services with the Crossing National, Inc. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your education and/or employment history conducted by Safe Hiring Solutions LLC, P.O. Box 186, Crawfordsville, IN 47933 888-215-8296. I have read and understand the Notice regarding Background Investigation
Waiver of Liability By signing the volunteer Agreement, I hereby waive all liability to the Crossing and its employees, for any and all injuries which may occur to me during my term of volunteer service with the Crossing.

Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.