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Volunteer Application
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
-
-
Email
*
Date of Birth
*
Emergency Contact
*
First
Last
Emergency Contact's Phone Number
*
-
-
Do you smoke?
*
Yes
No
Are you a Christian?
*
Yes
No
Do you attend church on a regular basis?
*
Yes
No
Church Name
*
Pastor's Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
-
-
Website
*
Email
*
What days/times are you available for volunteer assignments?
*
In what area would you like to volunteer?
*
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application will disqualify me for volunteer work.
*
I Agree