After School Clubs Volunteer Application

After School Clubs Volunteer Application

Elementary Programs run from 2:30 PM - 4:30 PM, Middle School Programs run from 3:30 PM - 6:00 PM, and High School Programs run from 4:00 PM - 6:00 PM.
Name

First NameLast Name
Date of Birth

MonthDayYear
Gender
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
First Choice: Age group you would like to work with
Second Choice: Age group you would like to work with
What is the name of the local church you attend?
How did you hear about Lifeline or who recommended Lifeline to you?
Provide a brief testimony of how you personally came to know Jesus and your current relationship with Him.
What do you anticipate getting out of serving at Lifeline?
Are you currently under psychiatric care or counseling for any conditions?
Please explain:
Have you ever been convicted of a crime or municipal ordinance violation in any federal, state, or municipal court?
Please explain:
Have you ever pled guilty, been found guilty, entered a plea nolo contendere or Alford plea guilt for ANY offense?
Please explain:
Are you, or have you ever been, placed on any local, state, or federal registry for sex offenders?
Please explain:
Additional Comments:
Should be Empty: