Buddy Application
The HALO Project and Pure Gift of God
Date of Application
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Month
-
Day
Year
Date
Name
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Marital Status, Spouse's Name
T-Shirt Size
Briefly tell us about your walk with Jesus:
Home Church/ Pastor's Name
Do you have a physical condition that would interfere with volunteer activities? If yes, please explain:
Have you ever been arrested or convicted of a crime? If yes, please explain:
Years of Education (including college and/or masters)
Do you speak any languages other than English? If so, what language(s)?
Let us know about your experience working with children
Briefly explain why you want to volunteer
References
References can not be related to applicant be blood or marriage.
1st Reference Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation/ Relationship
2nd Reference Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation/ Relationship
I certify that all of the information I have given is correct and true to the best of my knowledge.
Submit
Should be Empty: