Dear Volunteer Applicant:

Thank you for desiring to become a volunteer. Our intent is to assist you in making your decision to enter our ministry. All volunteer information is confidential and is used in directing individuals for service within our ministry. Please complete the following application form and additional information requested below.

· Complete the attached application.

· Please print or type a Statement regarding your Faith experience

· Please enclose a recent photo of yourself along with your completed volunteer application.

Your application will be considered after it’s reviewed and references checked. We will reply as soon as possible and a letter of acceptance will be sent to you if your application is approved. We will schedule a time to discuss the volunteer position best suited for you.

Thank you, and please do not hesitate to contact our office for further information at 432-682-2514.

Volunteer Application

Name:_________________________________________________________________


Address:____________________________  City & Zip Code______________________


Home Phone:___________________    Cell Phone:_____________________________


Birth date: ______________     Email Address:__________________________________


Education:_________________      Current Profession:___________________________


Emergency Information:


Name:_____________________Relationship:_____________Phone:______________


Name:_____________________Relationship:_____________Phone:______________


Previous Volunteer Experience and expertise:_________________________________


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How did you hear about The Genesis Center?_________________________________


Why did you decide to volunteer for the Genesis Center:


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Circle the areas of interest that you would like to volunteer in:


Discipleship  Study  Childcare/Children Activities  Thrift Store   Mealtime


Support/Study Groups:


Substance Abuse   Domestic Violence   Empowerment Skills


Women’s Bible Study  Parenting Class  Beauty/Body


Administration:


Outreach  Advocacy  Community Awareness  Pastoral Care/Chapel Services


Other:


Grounds or Facility Maintenance Transportation


Your Availability:


Sunday  Monday  Tuesday  Wednesday  Thursday  Friday    Saturday

AM/PM   AM/PM    AM/PM    AM/PM        AM/PM     AM/PM     AM/PM


Have you ever been convicted of a felony or misdemeanor?   NO  YES

If yes, explain:


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Do you have any medical conditions that may limit the type of tasks you perform?


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Have you had or have any communicable diseases that we need to know about? (Ex: HIV, hepatitis, TB, etc.)       No          Yes

If yes, explain:


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Please share with us your Faith or Christian Experience:


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Home Church if applicable___________________________Pastor______________________


Signature:________________________________________Date:________________________

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Do you have any medical conditions that may limit the type of tasks you perform?


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