| * Required | |
| *Last Name: |
|
*First Name: |
|
| *Street Address: |
|
*Date Of Birth (mm/dd/yyyy): |
|
| |
|
*Phone: |
|
| *City, State, ZIP: |
|
Alt. Phone: |
|
| |
|
Email: |
|
|
| How did you become acquainted with Christ’s Home? |
|
| What are your specific reasons or goals for volunteering? |
|
Do you have prior volunteer experience? Yes No
|
| If "Yes", please indicate where you volunteered and briefly describe your involvement. |
|
| Please briefly describe any special interests, hobbies, or skills you have. |
|
| Do you have any current church or community involvement? |
|
|
| Service Opportunities |
| I am interested in serving through (please check): |
| Grounds upkeep |
Snow Removal |
| Shrub/Flower bed tending |
House cleaning |
| Painting |
Kitchen help |
| Carpentry |
Laundry help |
| Mechanical/Light duty maintenance |
Office help (covering telephones, etc.) |
| Fall leaf clean-up |
Other (please specify below)
|
| |
| Children's Activities |
Direct involvement with the children at Christ’s Home is limited due to the very nature of our ministry. Opportunities do exist, however, for groups to provide activities and for individuals to provide care and support. All volunteers with direct contact with the children must be willing to undergo a Criminal History Check and a Child Abuse Clearance.
|
| Sponsor/host/organize an activity |
Occasional direct childcare/baby-sitting |
| Work with an individual child as a mentor |
Provide music lessons (please specify below)
|
| Spend time playing sports or games |
Tutor in a school subject (please specify below)
|
Other (please specify below)
|
|
|
Are you able and willing to organize a group of volunteers from your church, civic organization, neighborhood, etc? Yes No
|
How frequently are you able to serve?
Weekly Bi-weekly Monthly Yearly Other (please specify)
|
| Please list any specific days or times that you are available to volunteer at Christ’s Home. |
|
| Do you have a particular preference as to the children you might work with? (age, sex, etc.) |
|
| If you are interested in working directly with the children, you may need to acquire a Criminal History Check and a Child Abuse Clearance. Are you willing to apply for these? |
Yes No
|
| Christ’s Home prohibits the use of controlled substances, alcohol, cigarettes, and abusive language on our campus or amongst our children and staff. |
Does this policy comply with your own present standards? Yes No
|
Are you willing to concur with the above-mentioned policy in your volunteer involvement with Christ’s Home? Yes No
|
|
| Please list the names and current phone numbers of three references. |
| 1. |
| 2. |
| 3. |
I understand that, at any point, my volunteer application can be canceled and my involvement terminated by Christ’s Home if there is any reason to believe that a child’s welfare is not being protected.
I also understand that, upon submission, I have digitally signed and dated this form. |
|
|
| Submit Application to: Warminister Campus
Paradise Campus |
|
