Kids@Union Chapel Volunteer Application

VOLUNTEER APPLICATION
We appreciate your willingness to volunteer with Games Reach. Your time to complete this form to help us get to know you better is much appreciated. Please allow 1-2 weeks for a response. After applications are reviewed and accepted, we will schedule an interview. All volunteers will need a background check and to sign a liability waiver and code of conduct agreement.
Basic Information
Legal Name*

First NameLast Name
Date of Birth*

MonthDayYear
Cell Phone #*
Best Time to Call*
E-mail*
example@example.com
Age*
Grade (if applicable)
T-Shirt Size*
Place of Employment
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status*
Spouse's Name
Serving Together?
Volunteering
Why Do You Want To Volunteer?*
Days You're Available

MondaysTuesdaysWednesdaysThursdaysFridaysSaturday's
How Often Would You Like To Volunteer

Every WeekTwice a MonthOther
Time Of Day You Are Available To Volunteer

MorningsAfternoonsEveningsOther
I Would Like To Volunteer In The Following Areas: (Check All That Apply)

Elementary WorkerMiddle School WorkerHigh School WorkerOffice VolunteerSpecial EventsBehind The Scenes SupportOther
Briefly Describe Your Relationship With Jesus Christ
Note: being a Christian is not a requirement to volunteer .
Do You Regularly Attend Church? If Yes Where?
List Any Leadership/Volunteer Experience You Have Had:
List Any Training, Education Or Spiritual Gifts You Have.
List Any Experience You Have Working With Youth/Kids
Background Information

Your information is only shared with senior leadership (as needed)
Have You Ever Been Accused, Charged With, or Alleged to Have Committed Any Act of Neglect, Abuse, or Molestation Against A Minor? If Yes, Explain in Detail, Providing Date and Place of Incident:*
If approved You may be interacting with adults but mostly working with kids and teens. Are you comfortable working with all age groups and ethnic backgrounds? If no, please explain. *
If there has been alcohol abuse, drug abuse, and physical or sexual abuse in your family background, what steps have you taken to minimize the impact that may have on you, both now and in the future?*
Is there any circumstance or pattern in your life that may make it inappropriate for you to work with children? if so, explain. *
Medical information

The information you provide is kept in confidence and only shared with leadership
Do you have a medical, physical or mental condition that may impact your involvement in this ministry? If yes, please explain. *
Do you have any known allergies? If yes, what are they? *
Emergency Contacts

In the event of an emergency, who should we contact? If the applicant is a minor please list TWO.
Emergency Contacts # 1*

First NameLast Name
Phone #
Relation to Volunteer*
Emergency Contacts # 2

First Name
Phone #
Relation to Volunteer
Local Personal References

(Must Be 18 Years Old and Not Related to You) They could be a Boss/Supervisor, Teacher, Pastor, or Other Leader.
Reference Name*

First NameLast Name
Title:
Phone #*
(419)555-5555
Organizations Name
Reference Name*

First NameLast Name
Title:
Phone #*
(419)555-5555
Organizations Name
The Legal Stuff
Please Chose One*

I am 18 or older.The above-named applicant is my child and has my permission to volunteer for Game Reach. I will be signing on their behalf.
I hereby authorize Games Reach to verify all information contained in this application with any references, my past or present employers, churches or other organizations, and any individuals mentioned within this application. I authorize those who are contacted to disclose any and all information to Games Reach. I release all such persons or entities from liability that may result or arise from Game Reach’s collections of all such evaluations or information for its consideration of my application.*

I agree with the statement aboveI disagree with the statement above
WAIVER*

I the undersigned understand that while precautions are taken to ensure safety, there are always risks associated with any physical activity, including, by way of example, physical injury due to activity-related accidents, illness (including, but not limited to, COVID-19, MRSA, influenza, and other infectious or communicable diseases), or even death. In addition, I acknowledge that there may be other risks inherent in these activities of which I may not be presently aware. By signing this form, I expressly assume all risks related to participating in the activities, whether such risks are known or unknown to me at this time. I release and agree to indemnify and hold harmless Games Reach and its employees, volunteers, and agents from any and all claims arising from participation in its activities and programs.
Consent for Medical Care*

I hereby declare that I give my full express consent to be given/let my child be given immediate treatment by any qualified medical personnel in circumstances that may need immediate attention and care.
Name - If volunteer is a minor, than this MUST be signed by a Parent/Guardian *

First NameLast Name
Authorized Signature*

Clear
Newsletter

Yes, subscribe me to the Games Reach newsletter.
Donations support the programing of Games Reach a 501c3 Nonprofit EIN 92-3436703. Checks can be sent to Games Reach 365 Straub Rd. E. Mansfield, OH 44903. You can also, find us "$gamesreach" on Cash App.

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VOLUNTEER APPLICATION

Basic Information

Volunteering

Background Information

Medical information

Emergency Contacts

Local Personal References

The Legal Stuff