Volunteer Form
Help Us Serve Christ in the Community
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
Please Select How You Heard About the Valley Rescue Mission
Friends/ Family
Church
Work
School
Website/Internet
TV
Radio
Other (Please Describe)
Please Select Your Primary Reason For Volunteering
Personal Interest
Court Ordered Community Service (If Court Ordered Must Volunteer Retail/Donation Center)
School Required Community Service
Work Required Community Service
Church Group Project
Other (Please Describe)
Please Select Your Preferred Volunteer Frequency, Date, and Time
Weekly
Bi-Weekly
Monthly
Mornings
Afternoons
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do You Need Any Physical Limitations
In Which Area of Volunteer Ministry Are You Interested In?
Loaves & Fishes/Kitchen
Special Events/Holiday Projects
Women & Children's Ministry (Women ONLY)
Retail/Donation Center (Court Ordered Community Service ONLY)
Have You Ever Been a Resident or Enrolled in any of Valley Rescue Mission's Ministries?
Yes
No
If "Yes", Please Specify
Do You Presently Have a Relationship With or Know any Current or Former Residents or Clients Enrolled in any program at the Valley Rescue Mission?
Yes
No
If "Yes", Please Specify
Do You Have any Relatives who Work for the Valley Rescue Mission?
Yes
No
Have You Ever Been Convicted of a Criminal Case Where a Guilty Verdict was Rendered?
Yes
No
Please let us know about your home church.
I attend
Name of Home Church
.
My pastors name is
.
Are you a member of the above mentioned church?
Yes
No
Please Enter Your Preferred Emergency Contact Information:
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.
Submit
Should be Empty: