Volunteer Signup Form

2023 Mission Devine OnLine Volunteer Application & Emergency Contact Form

Work Week is June 5-10, 2023
MISSION DEVINE
Helping neighbors with minor home repairs, yard work, tree trimming and other minor repairs as requested by the homeowner and directed by the Project Leader.
Date

MonthDayYear
Date
Is this application for a Minor child? *

YesNo
YOUR CONTACT INFORMATION
LAST NAME:*
FIRST NAME:*
EMAIL:
PHONE NUMBER:*
Your Age*
STREET ADDRESS:*
CITY:*
STATE:*
ZIP:*
PRIMARY EMERGENCY CONTACT INFORMATION
Emergency Contact Name:*
Phone Number*
SECONDARY EMERGENCY CONTACT INFORMATION
Emergency Contact Name:
Phone Number
ARE YOU WILLING TO BE A PROJECT LEADER?*

YesNo
Responsibilities of a Project Leader Include: Manage the volunteer workforce at a designated site. Get materials ready for the work project. Meet with Mission Devine committee in the planning process for the project. Ensure the safety of volunteers. Report progress and needs to Chair and/or designated coordinators.
VOLUNTEER AREA OF CHOICE
Select the top 3 jobs you wish to participate in from the drop-downs below. You'll be notified which job you've been assigned to during check-in.
Prayer Team

Prayer Team MemberSupply Runner (must have vehicle)
Work Crew

Paint & Prep workYard WorkCarpentryGeneral HandymanSupply Runner (must have vehicle)
Other (Please indicate below)
Do you have general work tools to accomplish minor repairs?

YesNo
I am Available on the following days:

MondayTuesdayWednesdayThursdayFridaySaturdaySundayEvery Day
I am Available at the following times:

All DayMorningsAfternoonsEvenings
1st CHOICE:
2nd CHOICE
3rd CHOICE:
SUPPLIES
We will provide work gloves and refreshments. We are still in need of the items listed below. Please check the box next to any item(s) you can bring or donate.
AVAILABLE SUPPLIES:

rakeshovelhammersCircular SawMidar SawAir CompressorWheel BarrellWater Jug
Comments
*** ATTENTION ***

Please have your Parent(s) and/or Legal Guardian sign this application for you.
Signature: By signing below, I am attesting that I am of legal age to sign this agreement and/or I am the legal guardian of the minor child referenced on this application and agreeing to allow the volunteer referenced minor to work with Mission Devine. I also give my permission for Mission Devine to photograph me and or my minor child in the performance of any related Mission Devine event and that these photographs may be used by Mission Devine on any of their publications, website or other advertising media.

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2023 Mission Devine OnLine Volunteer Application & Emergency Contact Form