Mosaic Volunteer Application

* To streamline this process, please login here.

* If you do not have a Grace Church account, you can create one here.

application Entry

Added: 4/26/2024

First Name

Last Name

Date of Birth

Gender

You will be expected to regularly check this email for important communications from your coach/staff

Phone Number

Home Address

Do you have children?

If yes, please list their names and ages below:

Which campus do you attend?

What service time do you worship?

Campus you want to serve at:

What service time(s) are you available to serve?

We appreciate your interest in investing in the lives of our children and families. In order to best place you within our ministry needs, please indicate your availability:

Please check all areas that you would be willing to serve (Check all that apply):

Mosaic Grace Church Kids (children with special needs) Mosaic Students Mosaic Group Life (Adults) Mosaic Respite Night (Monthly Friday Night Care) Inspire Coffee House Mosaic Inspire (Day Discipleship Ministry)

What best describes you?

Are you in a Community Group?

If yes, who are your leaders?

Have you at any time, been involved in or accused, rightly or wrongly, of sexual abuse, maltreatement or neglect to a child or to an adult?

Have you ever been accused or convicted of possession/sales of controlled substances or of driving under the influence of alcohol or drugs?

Have you ever been arrested or convicted of any criminal act more serious than a traffic violation?

Have you ever gone through treatment for drug or alcohol abuse?

Is there anything in your past or current life that might be a problem if we found out about it later?

Personal Reference #1 Name (cannot be family or relative)

Personal Reference #1 Relationship

Personal Reference #1 Phone

Personal Reference #1 Email

Personal Reference #2 Name (cannot be family or relative)

Personal Reference #2 Relationship

Personal Reference #2 Phone

Personal Reference #2 Email

I certify that all of the information furnished on this form is true, complete and correct. I also understand that by submitting this form, I agree that the information I have provided may be used by Grace Church to run my background check.

Please use the space below to tell us any additional information about yourself that you would like for us to know. Also, if you have any questions or concerns you can list them here.

Mosaic Volunteer Application

* To streamline this process, please login here. * If you do not have a Grace Church account, you can create one here.

application Entry

* To streamline this process, please login here.

* If you do not have a Grace Church account, you can create one here.