Volunteer Application Form

JC Cares Volunteer Application

Thank you for your interest! This form must be completed before volunteering with JC Cares in any capacity.
Applicant Information
Name*

First NameLast Name
Today's Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Date of Birth*

MonthDayYear
Date
Last 4 digits of SSN*
Marital Status*
T-shirt size*
Have you ever been convicted of a felony?*

YesNo
If yes, explain
Names of Children and Ages
What church are you attending?*
Are you currently a Dream Center volunteer?

YesNo
If yes, what area(s)
Have you attended a JC Cares volunteer orientation session? *Required within the first 12 months as a volunteer.*

YesNo
If yes, when did you attend?*
Emergency Contacts

(Please List Two)
Contact #1*

First NameLast Name
Phone Number*

Area CodePhone Number
Contact #2

First NameLast Name
Phone Number

Area CodePhone Number
Interests

Please check which volunteer opportunities you are interested in
Areas of Ministry

Care Coach (Biblical Counselor) *Additional form neededPrayer Team (Praying for the ministry and/or clients *Additional form neededPrayer Sponsorship Program (Getting your small group involved in prayer for a client)Art Program ("Make N Take")JC Cares Bookstore (Sort, organize, and sell Christian resources)Transportation for clients to your church and/or to/from JC WorksAdministrative supportFinancial Coach (JC Works)Teammate (JC Works)Other
Days and Times Available*
I give my permission for JC Cares to take my photo/video and use it for promotional purposes.*

YesNo
I affirm, agree, and understand that all statements on this volunteer application are true and accurate. I also grant permission to JC Cares to check with appropriate authorities upon matters of record regarding my background or history.

I understand that JC Cares is a faith based non-profit organization operating with Christian beliefs & values.
Electronic Signature*
Please type your name
Date*

MonthDayYear
Date
JC Cares

111 Hillcrest Drive, Suite D

Easley SC, 29640

www.jccares.us

864-999-2255
Should be Empty:

JC Cares Volunteer Application

Applicant Information

Emergency Contacts

Interests