Volunteer Application — H2O Ministries

Name

First Name

Last Name

Home Address

City, State, Zip

Phone

(###)

###

####

Date of Birth

YYYY

What church do you currently attend?

How did you hear about H2O ?

What made you want to volunteer with H2O?

Do you have previous volunteer experience? If yes, please describe:

If you were to describe yourself using 5 words, what would you choose?

What volunteer teams are you interested in? (Check all that apply)

Events and Fundraising

Bible Lesson

Administrative

Social Media

Life Skills

Transition Team

When are you available to volunteer? (Check all that apply)

Weekday mornings

Weekday afternoons

Weekday evenings

Saturdays

Sundays

Please list 3 people you would like to use as a reference:

Do you have any experience working with people who have experienced trauma? If yes, please explain.

Do you have any experience working with people who have a mental health disorder? If yes, please explain.

Authorization

By typing my name below I hereby attest to the truthfulness of all information listed on this application. I agree to authorize H2O to contact the references listed on this application. I understand my responsibilities as a volunteer and agree to be committed to the best interest of the participants of the H2O program. I agree to keep confidential all information I learn about the residents of H2O as well as his/her family.

Photo Release

I understand that by typing my name below, I hereby consent to the use of my name, likeness and speech in any audiotape, videotape, film, photograph, or electronic transmission or display made during the course of the H2O volunteer opportunity for any business purpose.

Have you ever been arrested for, or convicted of, a misdemeanor? If yes, please explain.

Have you ever been arrested for, or convicted of, a felony? If yes, please explain.

Do you have any pending criminal charges against you? If yes, please explain.

Have you been ticketed for driving under the influence? If yes, please explain.

To the best of my knowledge, the information provided is true and complete. I understand that any falsification or omission of information may disqualify me for this position. By typing my name below I hereby provide my authorization to Zoie's Place to conduct a criminal background check.

Please Print Your Name

First Name

Last Name

Thank you! Your application has been submitted. We will get back to you once we have reviewed your application.