Volunteer Application PERSONAL INFORMATION Full Name* Phone Number* Alt Phone Number Address* Select Country* Select State* Address Line 1* Address Line 2 City* Zip Code* Have you ever been convicted of a felony No Yes AREAS OF INTEREST Mentor/Advocate require 1-year commitment Budget Mentor Life Skills Mentor Parenting Mentor Homes of Hope Advocate Reception (greet/answer phones) General Office Assistance (filing, mailings, etc.) Personal Care Closet Packing Personal Care Closet Organizing/Shelving Personal Care Closet Distribution at Food Bank Personal Care Closet Product pick-up/bag transportation Grant Writing Client Intake/Client communication Transport clients to appointments, groceries Visit neighbor in need Special events (e.g. Pie Auction, Sneaker Drive) Parsonage Reception Parsonage Housekeeping AVAILABILITY Service Interest Daily Weekly Monthly As needed Special events Availability (days/time of day)* REFERENCES Interested in being a Mentor/Advocate? Please list at least 3 other people who are familiar with your faith and your abilities to serve in ministry to others. Please do not list relatives. Reference #1 Name Reference #1 Phone Reference #2 Name Reference #2 Phone Reference #3 Name Reference #3 Phone Submit Birthdate (month/year) Email Address Communication Preference* Phone Cell Phone Text Email EMERGENCY CONTACT Emerg Contact Name* Emerg Contact Phone* Emerg Contact Relationship* CHURCH INFORMATION Church Affiliation* Pastor/Church Leader* Please describe your relationship with Jesus Christ* How does your relationship influence your interest in serving?* How did you hear about Love INC Church Friend Facebook Other
