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VOLUNTEER APPLICATION
Volunteer Application
Tillman Ross
2019-04-24T14:26:18-04:00
Welcome! We are blessed by the amount of community support that we receive. On any given month, we have more than 250 active volunteers, who are the heart of this ministry. Whatever your skills and time constraints are, we welcome your commitment to making a difference by donating your time.
Volunteer Information
Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Email
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
*
Cell Phone
*
Date of Birth
*
MM slash DD slash YYYY
Emergency Contact Information
Name
*
First
Last
Phone
*
More About You
Do you have any health or physical limitations that could affect your volunteer assignment?
*
Yes
No
Please explain your health concerns.
Have you been convicted of a crime within the last 10 years?
*
Yes
No
If yes, please explain.
Please check one:
*
Group Volunteer
Individual Volunteer
Church
What is the name of your Church/Group?
Have you volunteered at CCM in the past?
*
Yes
No
If so, when did you last volunteer (date/project)?
Please list your previous/current volunteer work and/or nonprofit boards on which you have served:
*
How did you learn about CCM?
*
CCM Website
Friend/Family Member
Social Media
CCM Event
Other
Why do you want to volunteer? What do you want to gain from your experience?
*
What special skills or interests do you wish to utilize as a CCM volunteer?
*
Please check any areas of interest or expertise:
*
Receptionist
Interviewer
Food Pantry
Warehouse
Food Pick Up/Delivery
Data Entry/Computer Skills
Gardening/Beautification
Mobile Food Pantry
What are the best times you are available?
*
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Would you be willing to submit to a background check?
*
Yes
No
Are there any special accommodations requested?
*
Yes
No
If yes, please explain.
References
Please provide 3 personal or professional references, excluding family.
Please provide 3 personal or professional references below:
Name
*
First
Last
Phone
*
Email
Name
*
First
Last
Phone
*
Email
Name
*
First
Last
Phone
*
Email
Please read the following carefully signing this application: I understand that this is an application for and not a commitment or promise of volunteer opportunities. I certify that I have, and will provide accurate information throughout the selection process, including on this application and in interviews with Cooperative Christian Ministry. I understand that misinterpretations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Cooperative Christian Ministry or my termination as a volunteer. I understand that CCM is a Christian organization that operates based on Christian principles. Whereas we do not discriminate against anyone for their religious beliefs, we do openly demonstrate our faith through our operating principles, core values and actions.
Initial
*
Date
*
Month
Day
Year
Phone
This field is for validation purposes and should be left unchanged.
19188
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