Volunteer Registration Form
Have you volunteered at City on a Hill before?
*
Yes
No
I am signing up as/for:
*
Please Select
Individual Volunteer
Church/Organization/School Group
Group/Church Name:
*
I am a: (for ministry leaders only)
Please Select
Senior Pastor
Youth Pastor or Youth Director
Staff Pastor or Ministry Director
Are you active in a church?
Yes
No
Church Name:
City located in:
Name
*
First Name
Last Name
Date of Birth:
*
-
Month
-
Day
Year
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone Number
*
Alternate Phone Number
Gender:
*
Male
Female
Email
*
What are you signing up for?
*
Please Select
Facility Assistance
Health Outreach - Saturdays
Health Clinic - Weekday
Food Service
Youth/Family Event
Youth Center - Tues, Wed, Thurs
Thursday Night Youth Discipleship Programs
Front Desk Reception
Other
When would you like to serve?
-
Month
-
Day
Year
Date
Corporate funders often ask whether any of their employees volunteer for our organization. If we do have some of their employees serve as volunteers they look more favorably on our request for support.
Place of Employment:
Job Title / Occupation:
I heard about City on a Hill through:
Please Select
I am a former guest or former client
Compassion Event
Urban Plunge
Walk in
A City on a Hill staff member
Church Presentation
Service Group
Word of Mouth
City on a Hill website
Short Term Missions trip
Service Learning
Other
Online listing
Missions - Poverty Simulation
Participant's Signature
Date
-
Month
-
Day
Year
In case of emergency, please call:
First Name
*
Last Name
*
at
Phone Number
*
Please list below any health conditions or limitations that could affect your participation, and any medications, foods or substances to which you are allergic:
Submit
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