Volunteer Application

  • Volunteer Application

  • Click to see a list of all volunteer opportunities and descriptions.

  • Format: (000) 000-0000.

  • Personal Information

  • Date of Birth*
     - -
  • Gender*
  • Do you currently attend church?*

  • Volunteer Interest & Experience

  • If you need a refresher, click here for all volunteer opportunities and their descriptions.

  • Select which areas of volunteer opportunities interests you.*

  • Character Reference

    Please list a character reference that we could contact regarding your desire to volunteer at Jim Riley Outreach.
  • Format: (000) 000-0000.

  • Safety Information

  • Have you ever been a subject in an investigation in this or any other state for violence or abuse against another person?*
  • Have you ever been convicted of a felony?*
  • Have you ever been a subject in an investigation in this or any other state for sexual abuse or harassment?*
  • Have you ever been a subject in an investigation in this or any other state for possession, use or distribution of illegal or prescription drugs?*
  • Should be Empty: