Church Nursery Volunteer Application Form

VBC Nursery/Tot & Wee Volunteer Application

Thank you for your interest in volunteering at our church nursery! Please fill out the following application form.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Date of Birth*

MonthDayYear
Date
Are you a member of our church?*

YesNo
Why do you want to volunteer in the nursery?*
Do you have any previous experience working with children?*

YesNo
If yes, please describe your experience.
What days are you available to volunteer?*

Sunday MorningSunday EveningWednesday EveningSpecial Events
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Do you have any medical conditions we should be aware of?
References

Please provide two references (not family members).
Reference 1 Name*

First NameLast Name
Reference 1 Phone Number*
Please enter a valid phone number.
Reference 2 Name*

First NameLast Name
Reference 2 Phone Number*
Please enter a valid phone number.
Background Check Consent*

YesNo
Should be Empty:

VBC Nursery/Tot & Wee Volunteer Application