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Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Date of Birth
-
Year
-
Month
Day
Date
Marital Status
Current Occupation
Present Employer
Emergency Contact Information:
*
Relationship to you:
Phone Number of Emergency Contact:
*
Email of Emergency Contact:
Why do you want to volunteer with Safe Haven Bridging Gaps?
Availability to Serve
*
Mornings
Afternoon
Evening
Weekends
Flexible
What do you hope to be able to contribute to Safe Haven Bridging Gaps Company?
Have you volunteered with other organizations before? If so, which ones?
What is your favorite thing about volunteering?
Have you ever had a negative experience with volunteering with other organizations? If so, PLEASE DO NOT TELL ME WHICH ORGANIZATION but describe the experience.
Sensitive Questions
Please understand that your answers do not disqualify you from serving with Safe Haven Bridging Gaps Company.
If you answered yes to any of the previous questions, please explain.
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Education Level:
Name of School:
List any education, work training and/or ministry experiences that might be helpful for us to know. Please be specific (Bible school training, trade school, job skills, internships, talents, interests, hobbies, etc.)
What do you see as your strongest character quality? Why?
What do you see as your weakest character quality? Why?
Are there any issues in your life with which you are currently struggling?
Is there anything else you feel would be helpful for us to know?
Are you currently under a physicians care for any medical/mental illness? If yes, please explain.
Do you take any medications? If yes, please explain.
Do you have any physical handicaps or conditions that would prevent you from performing certain types of activities? If yes, please explain.
Do you have any food restrictions? If yes, please explain.
References
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Relationship to You
*
Number of years/months they have known you:
*
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Number of years/months they have known you:
*
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