VOLUNTEER APPLICATION FORM
NAME:
*
First Name
Last Name
ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PHONE NUMBER
*
Please enter a valid phone number.
EMAIL
*
example@example.com
EMERGENCY CONTACT:
*
First Name
Last Name
EMERGENCY CONTACT PHONE NUMBER
*
Please enter a valid phone number.
WHY DO YOU WANT TO SERVE AS A VOLUNTEER AT ATCCC?
*
WHAT AREA OF ATCCC ARE YOU MOST COMFORTABLE SERVING IN?
*
FOR EXAMPLE: SUPER THRIFT STORE, VEHICLE DONATION PICK UPS, AND SUPPORT GROUPS OR OTHER (PLEASE SPECIFY)
LIST PREVIOUS VOLUNTEER EXPERIENCE:
*
LIST ANY RELEVANT WORK SKILLS AND EXPERIENCE OR TRAINING:
*
DO YOU HAVE A VALID DRIVERS LICENCE?
*
YES
NO
WHAT IS THE NAME OF YOUR HOME CHURH AND HOW LONG HAVE YOU ATTENDED?
*
DATE THAT YOU ARE AVAILABLE TO START:
*
-
Month
-
Day
Year
Date
LIST THE DAYS AND TIMES YOU ARE AVAILABLE TO VOLUNTEER:
*
PROPOSED LENGTH OF VOLUNTEER COMMITMENT:
*
DO YOU KNOW OF EITHER A STAFF OR STUDENT WHO IS CURRENTLY INVOLVED OR WAS IN THE PAST WITH ATCCC?
*
YES
NO
WHO ARE THEY AND WHAT IS YOUR RELATIONSHIP TO THEM?
*
PLEASE PROVIDE THE NAME AND PHONE NUMBER OF TWO (2) PERSONAL REFERENCES:
*
IS THERE ANYTHING ELSE YOU WOULD LIKE TO TELL US ABOUT YOURSELF?
*
Submit
Should be Empty: