CTCI Volunteer Application

CTCI Volunteer Application

For volunteers or those desiring to serve alongside ministry staff for a specific program.
Today's Date*

MonthDay Year
Program or event you are applying to volunteer for*
Starting Date

MonthDay Year
Date
Ending Date

MonthDay Year
Date
Upload a recent photo*
Full Name*

First Name Last Name
Birth Date*

Month Day Year
Home Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email or Facebook*
Cell Phone*

Area Code Phone Number
College/University
Present Level of Education
Home Church*
Church Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mentor/Pastor*

First Name Last Name
Phone*

Area Code Phone Number
Email*
example@example.com
How did you hear about us?*

Emergency Contact Information
First Contact*

First Name Last Name
Phone Number*

Area Code Phone Number
Email*
example@example.com
Second Contact*

First Name Last Name
Phone Number*

Area Code Phone Number
Email*
example@example.com
Primary Health Insurance*
Policy Number
Insured's Name

First Name Last Name
Covenant

While serving as a volunteer / staff assistant during a CTCI program, I agree to adhere to the highest moral standards in conduct and dress and to submit to the oversight of the CTCI Staff. I agree there should be NO use of alcohol, tobacco, or illegal drugs. As the variety of classes, activities, and chores present themselves, I am willing to do any tasks assigned.

I understand that in addition to assigned duties, I may be asked to participate specialized Heroes of Today training activities. I agree to participate in these activites if requested of me.
Electronic Signature*

First Name Middle Name Last Name
Date*

Month Day Year
Signature of Participant*

First Name Last Name

Please write a brief testimony concerning your Christian faith.*
Please write a summary of any ministries or extra curricular activities you have participated in.*
What do you believe are your strengths in regards to volunteering or assisting the staff?*
What areas personally do you feel you need to grow in most at this time in your life?*
Describe your current relationship with the Lord and why you feel He is leading you to serve at CTCI.*

References
Please list three references (NOT including family members or peers) whom you feel know you well.
Reference #1*

First Name Last Name
Position/Relationship*
Phone Number*

Area Code Phone Number
E-mail or Facebook*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Reference #2*

First Name Last Name
Position/Relationship*
Phone Number*

Area Code Phone Number
E-mail or Facebook*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Reference #3*

First Name Last Name
Position/Relationship*
Phone Number*

Area Code Phone Number
E-mail or Facebook*
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Should be Empty:

Health Information