Generic Volunteer Application

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Personal and Contact Information

Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Marital Status*

Date of Birth*

MM slash DD slash YYYY

Employment Details

Current Employer*

Position

Languages Spoken*

Gender*

Do you have any physical limitations?*

Volunteering Details

Why are you wanting to volunteer at Love INC?*

Abilities?*

Areas of interest?*

Do you have previous volunteer experience?*

How many days per week would you like to volunteer?*

Agreements

Confidentiality Statement*

I agree

I agree to take extreme care to protect the confidentiality of all individuals (clients, volunteers, staff, donors, etc.) and churchs involved in the Love INC Ministry. I will hold any information obtained by me or to which I have access in the strictest confidence. I will not disclose or discuss information regarding any individual or church to anyone other than the appropriate Love INC personnel.

Drugs and Alcohol*

Do you have any issues related to drugs, alcohol, or mental health that may pose a risk for you or the people we serve?

Background Check*

Love INC may require background checks. Do you agree to a background check if needed?

Charges*

Have you ever been charged with, convicted of, or plead guilty to a crime, either a misdemeanor or a felony (including but not limited to drug-related charges, child abuse, or orther crimes of violence, theft or serious motor vehicle violations)?

Date*

MM slash DD slash YYYY

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Generic Volunteer Application

Personal and Contact Information

Employment Details

Volunteering Details

Agreements

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