Volunteer Application

Applicant Information

Full Name:      

Date:

 
 

Last

First

M.I.

   

 

Address:    
 

Street Address

Apartment/Unit #

 

       
 

City

State

ZIP Code

 

Phone:  

Email

 

 

Are you a citizen of the United States? YES ☐ NO ☐

If no, are you authorized to work in the U.S.?

YES ☐ NO ☐

 

Are you currently on probation or parole? YES ☐ NO ☐

 

Have you ever been convicted of a felony? YES ☐ NO ☐  

 

 
If you answered “YES”, please  explain the nature of the offense and provide the date of the offenses:
 
 

Volunteer Experience

    Particular gifts/skills:  

 

Have you Volunteered in a previous church?

YES ☐ NO ☐

Church Name/

Role:

 

 

Do you have CPR/First Aid Certification?

 

YES ☐ NO ☐
Volunteer Interests (circle all that apply):  
  Youth Sunday School                 Youth Wednesday Evenings                  Adult Bible Studies   Children’s Church                       Children’s Wednesday Afternoon           Youth Special Events   Children’s Special Events           Child Care/Nursery  

 

   

Do you have your own transportation and insurance?

YES ☐ NO ☐
   

 

References

Please list three personal references.

Full Name:  

Relationship:

 
Address:  

Phone:

 
       
Full Name:  

Relationship:

 
Address:  

Phone:

 
       
Full Name:  

Relationship:

 
Address:  

Phone:

 

 

Disclaimer and Signature

I certify that this volunteer application was completed by me and that all of the information on this application is true and correct to the best of my knowledge.  I understand that any falsification, misrepresentation, or omission of facts called

Signature:  

Date: