Serve Students

Serve our Elementary, Middle School, or High School students in Lifeline after-school programs.

Be a mentor

Be a small-group leader and share the love of Jesus.

Join in on the games and activities – you're never too old to have fun!

First Name

Last Name

Date of Birth

Gender

Phone

Email Address

Desired Age Group

2nd Choice

What is the name/denomination of the local church you attend?

How did you hear about Lifeline Youth Ministries? If by word of mouth, who told you?

Provide your brief testimony on how you personally came to know Jesus Christ as Lord.

What do you hope to get out of serving at Lifeline?

Are you currently under psychiatric care or counseling for any conditions?

Have you ever been convicted of a crime or municipal ordinance violation in any federal, state, or municipal court?

Have you ever pled guilty, been found guilty, entered a plea nolo contendere or Alford plea guilt for ANY offense?

Are you, or have you ever been, placed on any local, state, or federal registry for sex offenders?

If you answered yes to any of the above questions, please explain here. Otherwise, put N/A: