Serving the Church and reaching the City for Christ

Volunteer Application

Name:
  Last First Middle

Email Address:

    

Are you over 18?

 Yes  No

Social Security #s

Present Address:

  

City:

State: Zip:  

Home long at this address:

 Are you able to work in the US legally?

Home Phone:

Cell Phone:

Alias (or other names you have gone by):
I have chosen to volunteer at The Buffalo Christian Center because?
What area would you like to volunteer?
       
Education      

High School

Graduate?:
 
College or Technical Training: (School attended, degrees earned and dates of Completion):
Professional Licenses, special training or skills:
       
Previous Work Experience    
List all employers you have had during the past 5 years, starting with the present or most recent employer:
       
1.
Firm Address City State
       
Supervisor Position Employed From Employed To
       
2.
Firm Address City State
       
Supervisor Position Employed From Employed To
       
3.
Firm Address City State
       
Supervisor Position Employed From Employed To
       
Previous Volunteer Experience    
   
       
References      

Present Church:
       

Present Pastor's Name:

Phone:
   
List other Churches you've attended regularly the last 5 Years  
Church Address:
Dates Attended Pastor
Reason for leaving:
       
Church Address:
Dates Attended Pastor
Reason for leaving:
       
List below 3 personal references you have known for at least 1 year and have a definite knowledge of your character and ability to work with children
       
1:                                Name: Relationship:
Length of time known: Phone:
       
2:                                Name: Relationship:
Length of time known: Phone:
       
3:                                Name: Relationship:
Length of time known: Phone:
       
Have you ever been convicted of or pled guilty to a crime, either a misdemeanor or felony (including but not limited to drug-related charges, child abuse, other crimes of violence, theft, or motor vehicle, theft, or motor vehicle violations)?
      No  Yes
If yes please explain:      
 
       
I agree and represent that the information contained in this application is correct to the best of my knowledge. I understand and agree that providing false and misleading information on this application is grounds for immediate dismissal, if I am selected for employment.
       

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   Signature (Enter your Initials)

Date