VOLUNTEER INTAKE FORM

BACKGROUND CHECK POLICY
Disclaimer: Thank you for your interest in volunteering for Vessels of Honor Intercessory Prayer Ministry Inc./ Vessels of Honor Inc. This form is used to collect information about new volunteers and used for internal purposes only. The information you provide is confidential and will not be shared.
Full Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Date of Birth:

MonthDayYear
Date
Spoken Language(s):

EnglishOther
Current Volunteer Work:
Do you need to fulfill a specific requirement of volunteer?

YesNo
Select

StudentCourt MandateOther
If yes, how many hours are you required to fulfill:
What is the deadline:
List and physical or medical limitations:
EMERGENCY CONTACT
Emergency Contact Name:
Relationship:
Email
example@example.com
Phone
Please enter a valid phone number.
AVAILABILITY
List the days and times you are available to volunteer:
Would you like to be notified about one-time, short-term volunteer opportunities?

YesNo
INTERESTS & QUALIFICATIONS
Kind of volunteer assignment desired? Please check all that apply:

Intercessory PrayerOutreach ActivitiesMediaMarketingAdministrationGrant ResearchWritingFundraisingSpecial EventsEvent PlanningCommunity Food ProgramMentorshipProgramEducational ProgramLeadership Program
Skills and qualifications:
Highest level of education:
Driver’s License?

YesNo
ACKNOWLEDGEMENT
I recognize that the opportunity to participate in the Vessels of Honor Intercessory Prayer Ministry Inc / Vessels of Honor Inc volunteer program may involve physical labor and may carry a risk of personal injury and I hereby agree to assume all risks which may be associated with my participation. I hereby release, discharge, waive and relinquish all claims, liabilities and damages I may sustain from bodily injury, personal injury or property damage and hold harmless the Vessels of Honor Intercessory Prayer Ministry Inc. / Vessels of Honor Inc its officers, directors, employees and agents.
Volunteer Signature: *

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Date*

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Date
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BACKGROUND CHECK POLICY

EMERGENCY CONTACT

AVAILABILITY

INTERESTS & QUALIFICATIONS

ACKNOWLEDGEMENT