Night to Shine Volunteer Application

Night to Shine Volunteer Application
Name

First NameLast Name
DOB:
Gender:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:
example@example.com
Phone Number:
Please enter a valid phone number.
Parent Name(If Under 18):
Parent Phone Number (If Under 18):
Please enter a valid phone number.
Emergency Contact During Event:
Emergency Contact Number:
Please enter a valid phone number.
A current background check is required for ALL volunteers over the age of 18.
I have had a background check within the last 12-18 months: Yes: ____ No: ____

Please provide First Church of God with a copy of your current background check as soon
as possible.
If no, please click this link to complete a background check:

If you are under the age of 18, a permission slip signed by your parent/guardian is
required to volunteer. Please click HERE for a copy of the volunteer permission slip
for volunteers ages 14-18.
Special Skills/Training (check all that apply)

Fluent in American Sign LanguageSpecial Education TeacherHealthcare ProfessionalCurrent Volunteer in Church's Special Needs MinistryOther
If Other, Please Explain Below
I have volunteered at Night to Shine before:
Volunteer Role Requested (Please number your top three choices. We will consider your request but cannot guarantee a specific role) Note in the text box below:

Buddy
Coat Check
Flowers
Food Service
Hair and Makeup
(please let us know if you are a
hairdresser or makeup artist)
Medical (please let us know if you
are a certified EMS/EMT or
practicing doctor or nurse)
Respite Room
Set-Up

Karaoke
Where I Am Needed Most
Please select top three duties from above.
Any additional comments:
Should be Empty: