Volunteer and/or Membership Application & Background Check

Thanks for your interest in joining a team and/or becoming a member here at North Central as we seek to see Gospel transformation in every heart, home and neighborhood.


One of the necessary first steps is filling out this application, which is a standard document that all volunteers and members complete.**  We realize it's tedious to get through, but we believe it's an important step in ensuring that every environment we create at North Central is safe for everyone, so thank you for taking some of your valuable time to complete.


All information contained in this application will be kept confidential.  It will be available only to those who have a genuine need to know in order to carry out their responsibilities at North Central Church or as required by law.


Once you're done, don't forget to click the "Submit" button!

**This application only needs to be filled out one time. For instance, if you fill it out to volunteer, you do not need to fill it out in it's entirety again should you decide to join as member at a later date (simply notify our office of you intent to become a member). 

Personal Info


Local Church Membership

Personal Strengths & Experience

Rate your interest, experience, and skill in any of the following on a scale of 1 to 5.

(5=highly qualified; 1=no experience)

Leading a small group

Teaching large groups

Working with Elementary

Working with Preschool


Driving a van



Web Page Design

Graphic Design


A/V Tech



Counseling/crisis care

Working with Teenagers

Working with Adults

Working with Infants

Food Preparation


Medical Care




Interior Design

Video Production


Office Work

You took a Spiritual Gifts assessment and Personality assessment in ROOTS (see ROOTS Track Appendix). Please input your results.


Background Screening

The following section is used to conduct confidential background checks on all North Central Church volunteers.  All information provided is strictly confidential and will only be used to meet the requirements of the screening procress.



It's required for all applicants to list 3 references who are not family members. These references must have known you for at least a year and have a sincere knowledge of your character & work with children.  References are not required to be connected to North Central Church.


Character Reference #1 (application cannot be processed if this is left incomplete)

Character Reference #3 (application cannot be processed if this is left incomplete)

Character Reference #2 (application cannot be processed if this is left incomplete)

PREVIOUS WORK EXPERIENCE WITH MINORS (List all organization work involving minors during the past 5 years.)

The following questions are part of a process to help provide a safe and secure environment.  All information is confidential.  (Answering YES to any of the following questions does not automatically disqualify someone for church service.)

I prefer to discuss the following questions confidentially with one of our Pastors.

Are you presently facing charges for any criminal offense?

Have you ever been accused of or charged with any offense involving children?

We conduct a police background check on all adult applicants. Do you have any objections?

Have you ever been charged with a misdemeanor or felony?

Have you ever been dismissed from a volunteer position for any reason?

Reducing the Risk Policy

Please click here to read the Reducing the Risk Policy.

Criminal Records Check and Authorization

(All applicants much complete this section; only those 18 and older are subject to check.) I hereby request a criminal background check and the release of any information which pertains to any record of convictions in its files or in any criminal file maintained on me whether local, state, or national.  I hereby release any criminal law enforcement agency from any and all liability resulting from such disclosure.  Any person or entity relying on this request may rely on a photocopy or facsimile as if it were an original.

By checking, I

Applicant Statement

The information contained in this application is correct to the best of my knowledge.  I authorize any references or churches listed in this application to give you any information (including opinions) that they may have regarding my character and fitness for working with or around minors.  In consideration of this evaluation by North Central, I hereby release any individual, church, youth organization, charity, employer, reference, or any other person or organization, including record custodians, both collectively and individually, from any and all liability for damages or whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with authorization.  I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.  I confirm that I have read the Reducing the Risk Policy included with this application and understand its content.  Should my application be accepted, I agree to be bound by the Bylaws and policies of North Central and to refrain from unscripted conduct in the performance of my services on behalf of the church.  I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT.  This is a legally binding agreement, which I have read and understand.


By checking, I