Name
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First Name
Last Name
Date of Birth
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MM
DD
YYYY
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
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Cell Phone
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Instagram handle
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Best method of contact
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Email
Text
Call
Gender
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Male
Female
Martial Status
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Single
Married
Divorced
Widowed
Spouse's Name and Anniversary (if married)
Campus
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Wilmington
Leland
New Bern
Occupation
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Employer/School (If Student)
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If you are a middle or high school student, please list your parent/guardian's names and contact email and phone number:
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Middle school students must serve with a parent, limited spots are available!
How long have you attended Port City Community Church?
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Are you currently in a Small Group?
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Yes
No
If yes, who is you Small Group leader?
Are you currently involved with any other Port City ministry? If so, where?
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Tell us about how and when you accepted Christ as your personal savior?
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Previous experience in ministry or with children?
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I want to volunteer in Port City Kids because...
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Tell us when you'd like to serve:
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Port City Kids has several opportunities for when you can serve on our teams! Check all that apply.
Tell us which volunteer role(s) you're most interested in:
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Grow Zone is Port City's birth to pre-K ministry, and Treasure Island is Port City's Kindergarten to 5th grade ministry. Check all that apply.
Please list 2 personal references who are not relatives:
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Reference 1: Full Name, E-mail Address, and Relationship to You
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Reference 2: Full Name and E-mail Address
Have you ever been convicted or accused of any domestic violence, child abuse, child molestations, or any other crime related to children or youth?
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No
Yes
If Yes, please explain (If no, type N/A):
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In the future, if I am convicted or accused of any crime while I am serving, as a volunteer, I will notify Port City Community Church staff immediately. I affirm that the information that I have given on this application is accurate and truthful. I acknowledge Treasure Island and Grow Zone’s mission, to reach kids and come alongside families to help them walk with God, and I agree to make it my own as I serve! I authorize PC3 to obtain a state and or federal criminal records check.
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Type name below to sign
