Application Form

Name (required)

Phone (required)



Do you have any medical conditions which could affect your ability to volunteer?

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Emergency Contact

Do you have experience working/volunteering with a similar ministry/organization? If so, which one(s)?

In what areas are you interested in volunteering?

Do you have a criminal record? Have you ever been convicted of a crime? If yes, please explain

Is there anything else you feel you should bring up concerning your lifestyle or history that you feel is important to share?

Reference 1 Name

Reference 1 Address

Reference 1 Phone Number

Reference 1 Email

Reference 2 Name

Reference 2 Address

Reference 2 Phone Number

Reference 2 Email