CASAUPENDO ORPHANAGE
VOLUNTEER APPLICATION
Legal Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Cell Phone Carrier
*
Best Time to Call
*
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
Please Select
Small
Medium
Large
XL
2X
3X
Place of Employment
Length of Employment
Marital Status
Spouse's Name
Serving Together?
Position You Would Like to Volunteer:
Teacher
Counselor
Nurse
Social Worker
Mother
Father
Physical Therapist
Artist
Evangelist
Pastor
guitarist
Doctor
Pianist
Other
Briefly Describe Your Relationship With Jesus Christ
List Any Leadership/Volunteer Experience You Have Had:
List Any Training, Education or Spiritual Gifts That Have Shaped Your interest To Serve
Have You Ever Been Accused, Charged With, or Alleged to Have Committed Any Act of Neglect, Abuse, or Molestation Against A Minor? If Yes, Explain in Detail, Providing Date and Place of Incident:
Local Personal References (Must Be 18 Years Old and Not Related to You)
Reference Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Reference Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I hereby authorize Casaupendo orphanage to verify all information contained in this application with any references, my past or present employers, any other appropriate personnel at my past or present employment, other organizations, and any individuals. I authorize those who are contacted to disclose any and all information to Casaupendo Orphanage. I release all such persons or entities from liability that may result or arise from Casaupendo Orphanage's collections of all such evaluations or information for its consideration of my application. Should my application be accepted, I agree to follow the policies of casaupendo orphanage and to refrain from any misconduct in the performance of my services as a volunteer. I understand that this personal information will be held confidential by the orphanage staff.
I agree with the statement above
I disagree with the statement above
I am the parent/legal guardian of the applicant and I agree with the statement above
I am the parent/legal guardian of the applicant and I disagree with the statement above
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