Volunteer Application

Today's Date

Volunteer Application

Name

Date of Birth

Male/Female

Male Female

Phone Number

Email

Address

City

State

Zip Code

Do you have a personal relationship with Jesus Christ?

Why are you interested in serving at Grace Place?

What special skills/gifts do you want to use while serving at Grace Place?

Do you prefer to work with children or adults?

Please check all the ways you are interested in serving

What is your availability (please enter times you are available for each day)

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Can you commit to the same time frame on a weekly basis?

yes no

Do you have any experience working with impoverished families?

Do you have any experience working with individuals who have experienced trama?

Do you use drugs and/or alcohol?

Please provide 3 referrals:

Name

Relationship

Phone

Address

Name

Relationship

Phone

Address

Name

Relationship

Phone

Address

*All Grace Place Ministry, Inc. volunteers are subject to a background screening.

I confirm that all information on this application is accurate and true.

By entering your name below, you are signing the document electronically. You agree your electronic signature is the legal equivalent of your manual signature on this document.

Signature

Date