top of page

As part of our Child Protection Policy, all adults over the age of 18 will need to fill out an application to become an Approved Adult, be interviewed by either the pastors or a member of the Child Protection Policy Team, and have a background check completed every two years.  While we know this is a longer process than before, the goal is to provide a safe, nurturing environment for all children.  To download our Child Protection Policy, click here.

Application to Become an Approved Adult at Zion Lutheran Church

This application is a mandatory part of a process to assist the congregation in providing a safe, nurturing Christian environment for our children. Persons responsible for the supervision and care of our children are in a special position of trust and confidence. Therefore, all adults (18 years of age or older) seeking to work with the children of Zion Lutheran Church congregation must complete this application. 

PERSONAL INFORMATION

Multi-line address
Are you over the age of 18?

Before you answer questions 12 through 18 on this application, please read pages 1-2, 19-20 of the Child Protection Policy for the definitions of child abuse and child sexual abuse or exploitation. In the questions below, the words “abuse,” “abusing a child” or “child abuse” are intended to include the conduct described in the definitions of child abuse and child sexual abuse or exploitation.

Is there any reason why you should not work with children?
Yes
No
Have you ever abused a child (a person less than 18 years of age?)
Yes
No
Have you ever been accused of abusing a child?
Yes
No
Have you ever been involved in a child abuse investigation as a witness, alleged victim, or alleged abuser?
Yes
No
Were you ever abused as a child?
Yes
No
Was the abuse reported?
Yes
No
Have you ever been arrested for or convicted of or plead guilty to a criminal offense against a person?
Yes
No

CHURCH OR CHILD-RELATED WORK 

SOCIAL MEDIA

Do you actively participate in any level of social media?
Yes
No

I agree that the information contained in this application is correct to the best of my knowledge. 

ABOUT US

Zion is a dynamic, mission-focused congregation located in the beautiful valley of Middletown, MD. We strive to welcome, educate and serve the needs of our members and the surrounding community. 

ADDRESS

301-371-6500

 

107 W. Main Street

Middletown, MD 21769

 

office@zionmiddletown.org

SUBSCRIBE FOR INFORMATION

Thanks for signing up. Our worship times are Saturdays at 5pm and Sundays at 9 am and 11am. We look forward to meeting you!

  • Facebook
  • Instagram
  • YouTube
  • Spotify
  • RSS
bottom of page