Volunteer Application

Volunteer Application
To be completed by all volunteers who will be working alongside us for an extended period of time. If coming for a visit of two weeks or less, please use our Visitor Application form.
Name of group you are arriving with
Each member of the group should use the same name. Leave blank if coming alone or with your spouse.
Name *

First Name Last Name
Age *
Name of spouse (if coming with you)

First Name Last Name
Email *
example@example.com
Phone Number *

- Country Code - Area Code Phone Number
Mailing address *
If you are part of a group that is arriving together only the leader needs to select dates.
First choice arrival

- Month - Day Year
Date
First choice departure

- Month - Day Year
Date
To help us with scheduling please indicate a second date of arrival, if possible.
Second choice arrival

- Month - Day Year
Date
Second choice departure

- Month - Day Year
Date
Emergency contact *
Someone who will NOT be in Rasa with you.
Relationship to applicant *
Emergency contact phone number *

- Country Code - Area Code Phone Number
Emergency contact email
example@example.com
Medical conditions or physical restrictions we should be aware of
Dietary restrictions
Indicate significant dietary restrictions based on medical conditions above. We cannot guarantee we will be able to accommodate all dietary restrictions but we will make every effort to do so.
Comments
Anything else we should be aware of?
Testimony *
You will most likely have an opportunity to share your testimony. Please include a short version here.
Spouse's testimony (if applicable)
You will most likely have an opportunity to share your testimony. Please include a short version here.
I (and my spouse, if applicable) have read the FAQ section of Gateway to Hope's website and agree to abide by the policies stated therein. *

Yes No
I (and my spouse, if applicable) have read and agree with Gateway to Hope's Statement of Faith, Vision, Mission, and Core Values as found on their website. *

Yes No
Should be Empty: