Clarksburg Mission Volunteer Application
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
Date of Birth
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Do you have a valid driver's license?
Yes
No
Days available
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Hours available
*
Morning
Afternoon
Evening
Areas Volunteers are Needed
Light Maintenance
Kitchen
Office
Education
Drivers
Special Events
Cleaning
Baler
All volunteers must:
Be respectful regardless of race, age, color, sex, or religion.
Godly behavior and morals are our guiding principles. We expect you to reflect those principles.
Must NOT be under the influence of drugs or alcohol.
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: