New Volunteer Application
Please complete the following volunteer application and click on the SUBMIT button when done. Your information is confidential and will not be shared outside of UIC-KC. Thank you!
Statement of Faith
Volunteer Ethics Agreement
Volunteer Confidentiality
Background Check
Volunteer Badge Photo
If you are able to, please upload an individual headshot image of yourself, looking at the camera, that covers 2/3rds of the photo space. Please do not wear a hat, sunglasses, or upload a photo that includes another individual. Please use a white background (i.e. white wall or white sheet). Recommended dress code: casual or dressy casual (no ties/suit). If you are not able to upload a headshot of yourself, UIC-KC will take your headshot photo at the New Volunteer Orientation & Basic Training.
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Volunteer Information
Full Name of the Church you attend
Volunteer Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
T-Shirt Size
*
Small
Medium
Large
Extra Large
XXL
XXXL
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Information
Cell Phone Number
*
Please enter a valid phone number.
Home Number
Please enter a valid phone number.
E-mail
*
example@example.com
I give permission to UIC-KC to send me an emergency deployment text message in the event of a major disaster? UIC-KC encourages all volunteers to sign up for this form of communication.
*
Yes
No
Emergency Contact Information
Emergency Contact Name
*
First Name
Last Name
Relationship to you
*
Spouse
Parent
Sibbling
Friend
Other
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Skill Sets
List languages you can speak and help with translation other than English
Spanish
Mandarin Chinese
Hindi
Portuguese
Bengali
Russian
Japanese
Yue Chinese
Vietnamese
Other
List crisis response related training completed outside of UIC-KC (i.e. Red Cross CPR/First Aid, CERT, etc.. Please include the approximate date of completion)
List Skills Related to Crisis Relief
*
Incident Command
Volunteer Management
Donations Management
Logistics
Disaster Operations
Communications
Press Release Writer
Case Management
Warehouse
Fork Lift Driver
Construction
Construction - GM
Flooring
Plumbing
Electrical
Dry Wall
Tape and Float
Muck-out
Ash-out
Blue Tarp
Chainsaw
HAM Radio Operator
Military Experience
First Responder Experience
Medical Experience
Grant Writer
Trauma Counselor
None
Other
Work Experience
Retired
*
Yes
No
Current or Most Recent Employer
*
Job Title
*
Previous Employer
Job Title
Registration for New Volunteer Orientation Training
Select the New Volunteer Orientation Training date and location you plan to attend:
*
Please Select
Saturday August 9th, 10:00 am to 12:00, The City House, 14300 E US Hwy 40, Kansas City, MO 64136
Notify me when more classes are scheduled.
To complete the application process, please click on the submit button below. Thank you!
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*
Submit
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