PDG Ministries Volunteer Form
Thank you for your interest in volunteering with PDG Ministries! We are excited to learn more about you and how you can contribute to our mission. Please fill out the form below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State / Province
Postal / Zip Code
Availability
Please select the days you are available to volunteer.
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Time of Day (Please check all that apply)
*
Morning
Afternoon
Evening
Preferred Volunteer Role
*
Please Select
Event Support
Fundraising
Mentoring
Administrative Support
Teaching
Community Outreach
Skills and Experience
Please list any relevant skills or experience you have that may be valuable for volunteering.
Have you volunteered before?
*
Yes
No
If yes, please describe your previous volunteer experience
What skills or experience do you bring to the table?
*
Why do you want to volunteer with PDG Ministries?
*
Would you need a Public Service Verification form? If yes, who does it need to be submitted to?
Health Information
Do you have any medical conditions or allergies that we should be aware of?
Do you require special accommodations?
Emergency Contact Information
In case of an emergency, please provide the name and contact information of someone we can reach out to on your behalf.
Emergency Contact Name
*
First Name
Last Name
Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Background Information
Have you ever been convicted of a criminal offense?
*
Yes
No
If yes, please explain
Please provide contact information for two references who can speak to your qualifications and character. (Please include their name, relationship to you, phone number and email.)
*
I consent to a background check if required for my volunteer role
*
Yes
No
Any other information you would like us to know about you?
I hereby certify that the above information is true and accurate to the best of my knowledge. By submitting this form, I agree to allow PDG Ministries to contact me regarding volunteer opportunities.
*
Date
*
-
Month
-
Day
Year
Date
Submit
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