Volunteer Application

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*

Prefix First Middle Last

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Cell Phone*

Birthday*

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?*

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:*

What are the best times you are available?*

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 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*

MM

DD

YYYY

Name

This field is for validation purposes and should be left unchanged.

VOLUNTEER APPLICATION

Volunteer Information

Emergency Contact Information

More About You

References