Pathfinder Volunteer Data Sheet

Ohio Conference: Pathfinder Volunteer Data Sheet
Section I: Personal Record

Section 1 of 6
Full Name

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Drivers License No.
E-mail
Church
Pathfinder Club
Marital Status

SingleDivorcedMarried
Name of Spouse
Have you ever been a Pathfinder? Where and when?
Will you be driving Pathfinders to various events? If yes, please complete Volunteer Driver Questionnaire.

YesNo

Section II: Health History

Section 2 of 6
List any injury/disability/health factor that might limit your involvement in ministry activities, or impact the health of children (i.e. communicable disease, physical limitations:

Section IV: Experience

Section 3 of 6
Please list all experience (Pathfinders, Scouting, Sabbath School, Etc.) that might qualify you for Pathfinder leadership:
For each experience list postion/type of work, church/organization, and date(s) of service.

Section V: Honor Instruction Ability

Section 4 of 6
Please list the skill areas and knowledge base that may be helpful with honors and crafts in which you are interested in teaching.
For each honor or craft indicate if you are: capable of teaching, able to assist, or interested in learning to teach.

Section VII: Recommendations

Section 5 of 6
Please list the three individuals who will be sending in your recommendation forms:
Name #1
Postion #1
Phone Number #1

Area CodePhone Number
Address #1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name #2
Postion #2
Phone Number #2

Area CodePhone Number
Address #2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name #3
Postion #3
Phone Number #3

Area CodePhone Number
Address #3

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Section VIII: Statement of Accuracy

Section 6 of 6
The information contained in this form is current to the best of my knowledge. I understand that this is strictly a volunteer position, and I expect no remuneration for services and time volunteered.

I authorize any persons giving a reference or chuches listed in this form to disclose information that they may have regarding my character and fitness for serving in a volunteer ministry that may involve children or youth. I hereby release any individual, church, or organization from any and all liability for damages which may result to me, my heirs, or family for compliance with this authorization, and agree that the church may maintain this information. My signature on this form confirms my understanding and agreement that: In the event that allegations of criminal or sexual misconduct arise regarding my conduct while I serve in a volunteer capacity, the church will fully cooperate with any investigation. I further state that I have carefully read the foregoing release and understand the contents thereof, and that I sign this release as my own free act. This is a legally binding agreement, which I have read and understand.

Further, I have read and agree to follow the Guidelines for Volunteers.
Volunteer’s Signature*

Clear
Please be sure you have answered every question and signed your name above. Application cannot be accepted without a signature.
Date of Signature*

MonthDayYear
Purpose

The Pathfinder Volunteer Data Sheet assists churches in appointing the best possible individuals to serve within the pathfinder ministry of the church. This form is part of a screening process which protects the volunteers, while also serving to protect children and youth from predators and the Church from liability. This record, once submitted, becomes the property of the local conference.

Procedure

Copies of this Pathfinder Volunteer Data Sheet are available from the local church Pathfinder Director or the Ohio Conference Youth Dept. Pathfinder Directors are responsible for encouraging prospective volunteers to complete forms and screening online.

The Applicant agrees to participate in any orientation or training programs conducted by the church or conference.

Policy

All information in this Pathfinder Volunteer Data Sheet is required by the Ohio Conference of SDA. The information on this form shall be kept confidential and become a permanent record of the Seventh-day Adventist Church. Volunteer records shall be updated every three years by the volunteer. In the event of accusations agains the applicant, opportunity shall be given for response by the accused. Such a response will also become a part of the record and must be attached to this form
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Ohio Conference: Pathfinder Volunteer Data Sheet

Section I: Personal Record

Section II: Health History

Section IV: Experience

Section V: Honor Instruction Ability

Section VII: Recommendations

Section VIII: Statement of Accuracy