Membership Recruitment Form

Membership Recruitment Form

DARE TO STAND UP FOR YOURSELF, DARE TO BE A HERO!!
Name (RLSH Name is Preferred)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Mobile Phone#*
E-mail*
example@example.com
D.O.B. (if Under 18)
What made you want to join the J.A.I.? & How did you hear about us?*
If applying for a specific volunteering vacancy, please state which role and location.*
Previous Volunteer Experience.*
Special professional training, skills, hobbies, etc:*
Special Certification (CPR, Medical, etc.) (NOTE!: CPR Certification is required! If you are not, accommodations can be made.)*
If CPR / First-Aid Certified please enter the Expiration date if you remember.
Community Affiliations (Clubs, Service Organizations, etc.):*
Do you Have a valid driver’s license?:*

YesNo
Driver’s License (or) State / Providence ID#:*
Driver’s License (or) State / Providence ID Exp. Date:*
Availability and Volunteer Assignment Preferences: (Please Check All That Are Applicable)*

FundraisingPatrolling / Crime PreventionCharity WorkSponsorshipCampaigningTrainingMedical/HealthDisaster AssistanceAdministrationHomeless / Community Outreach / Etc.Volunteer Staff Leadership
Signature*

Clear
PLEASE NOTE: Upon filling out the Recruitment Form you will be automaticlly redirected to our waiver form to fill out and submit. Upon completion of the Recruitment Form and Waiver Form there will be an interveiw conducted, after that there will be a "military-style" classification grade e-mailed to determining your recruitment status concerning the J.A.I. as follows:

1-A = Approved for Recruitment , 4-F = Denied for Recruitment
Should be Empty: