Youth 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.

Youth Volunteer Information

Name*

Prefix First Middle Last

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Cell Phone*

Date of Birth*

Emergency Contact Information

Name*

First Last

Relationship

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.

Doctor's Name - Phone and Address

Please check one:*

Group Volunteer
Individual Volunteer
Church

School Name and Current Grade*

Why do you want to volunteer? What do you want to gain from your experience?*

What special skills or hobbies do you wish to utilize as a CCM volunteer?*

What are the best times you are available?*

References

Please provide 2 personal or professional references, excluding family.

Please provide 2 personal or professional references below:

Name

First Last

Phone

Email

Name

First Last

Phone

Email

WAIVER AND CONSENT - Please read the following carefully before 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. I hereby give my consent for my minor child to be a CCM Volunteer. I agree to release CCM from any and all liability of any kind or nature as a result of my child’s volunteer participation. If my child needs medical care while participating in this program, I give CCM staff or leadership permission to obtain appropriate treatment if rendered necessary. I understand that I shall be responsible for any costs incurred for this treatment.

WAIVER AND CONSENT*

I agree to the CCM Youth Volunteer Policy stated below.

Please read the following carefully before 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 misrepresentations 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.

I hereby give my consent for my minor child to be a CCM Volunteer. I agree to release CCM from any and all liability of any kind or nature as a result of my child’s volunteer participation. If my child needs medical care while participating in this program, I give CCM staff or leadership permission to obtain appropriate treatment if rendered necessary. I understand that I shall be responsible for any costs incurred for this treatment.

Parental / Guardian Signature AND Phone Number*

Date*

Email

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

YOUTH VOLUNTEER APPLICATION

Youth Volunteer Information

Emergency Contact Information

More About You

References