VOLUNTEER APPLICATION

AUTHORIZATION FOR RELEASE OF INFORMATION

In connection with my application for volunteer service with OASIS HOUSE, I authorize OASIS HOUSE and/or their agent of choice, to solicit background information relative to my criminal record history. I understand that OASIS HOUSE may conduct inquiries into my background that may include criminal records, personal references and other public record reports pertaining to me.

I authorize without reservation, any person, agency or other entity contacted by OASIS HOUSE and/or the agent of their choice for purposes of obtaining background report information, to furnish the above mentioned information.

I release OASIS HOUSE, their respective employees, and/or the agent of their choice, their employees, and all persons, agencies, and entities providing information or reports about me from any and all liability arising out of furnishing any such information or reports.

DO NOT press the Enter key on your keyboard because it Submits the form as soon as you do it... Please use the Tab key or your mouse to navigate between fields.

Last Name

First Name

Date of Birth

Date

City of Birth

State

AKA or Maiden Name

Please note: If your address is a rural route or P.O. Box, we must have the city and county your mail is delivered to.

Current Address

ZIP

Current Telephone #

Email

example@example.com

How long at this address?

Address

Previous Address

Street Address Line 2

City

County

Zip Code

1. Are you part of a faith community? IF SO, Name

2. Highest Level of Education/Degree Completed

Position Title

4. Work reference with contact information:

5. Previous Volunteer experience:

6. Area of Volunteer Interest:

7. Have you ever been convicted of a crime? Brief Description.

8. Is there any reason you would not be able to follow through with a volunteer commitment to Oasis House? Explain.

9. What is you availability?

10. Have you had any human trafficking training other than our volunteer orientation?

11. What other education, experience or hobbies could you bring to the table? Be specific.

What other education, experience or hobbies could you bring to the table? Be specific.

12. Have you known anyone that has been or is currently involved in a sexually oriented business?

13. Has your life been affected in any way by the sex or adult entertainment industry? If so, please explain.

14. Please describe any past or present life experiences (positive or negative) which may help or inhibit serving with Oasis House:

15. How do you feel about prostitution?

16. How do you feel about women who are

16. How do you feel about women who are prostituted?

The information contained in this application is correct to the best of my knowledge. I authorize any references or churches listed in this application to give you any information they may have regarding my character and fitness for outreach ministry. I release all such references from liability for any damage that may result from furnishing such evaluations to you, and I waive any right that I have to inspect the references provided on my behalf.

Should my application be accepted, I agree to be bound by the policies of OASIS HOUSE and to refrain from unscriptural conduct.

Applicant's Signature

Clear

Date

IF YOU HAVE NOT BEEN CONTACTED WITHIN 2 WEEKS OF YOUR ORIENATION, PLEASE DO NOT HESITATE TO CONTACT US.