VOLUNTEER APPLICATION
All ministry leaders and potential volunteers must complete CELC's Volunteer Application.
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Occupation and Employer/Employers
*
Your hobbies/interests/skills:
*
Please list any First Aid qualifications
*
List activities or volunteer service in which you are/have been involved in outside of CELC:
*
How long have you been affiliated with CELC?
*
Are you a member of CELC?
*
YES
NO
What do you value most about the organization?
*
What is your area of interest in children/youth/vulnerable adult programs in this organization? (check all that apply)
*
Nursery (birth-age 2)
Preschool/Kindergarten (ages 3-5)
School age (ages 6-12)
Youth (ages 13-18)
Frail Seniors
Mentally Challenged
Other
Do you have any barriers that would affect your ability to carry out the duties involved with this position?
*
Yes
No
If "yes", please explain below:
References
Please provide the names of two people, excluding relatives, who will provide a reference for you. Provide one professional reference. Please note: all references will be called.
REFERENCE #1
*
First Name
Last Name
Occupation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Relationship to Applicant
*
REFERENCE #2
*
First Name
Last Name
Occupation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Relationship to Applicant
*
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