Joshua's Camp
Volunteer Application

Joshua's Camp Volunteer Application

Personal Information

First name

Last name

Birthdate

Please identify your sex.

Male

Female

Other

Prefer not to say

Address

Home Phone

Cell Phone

Best Time To Call

Previous Address (If you have lived at your current address for less than 5 years)

Address

Emergency Contact Information

Emergency Contact

Emergency Contact Relationship

Emergency Contact Phone

Current Employer

Employer Name

Employer Address

Employer Phone

Job Title

Length of Employment

Supervisor Name

Supervisor Phone

Volunteer Work

First Volunteer Organization and Duties

First Volunteer Organization's Address

Dates of Work for First Organization

Second Volunteer Organization and Duties

Second Volunteer Organization's Address

Dates of Work for Second Organization

Third Volunteer Organization and Duties

Third Volunteer Organization's Address

Dates of Work for Third Organization

Special Interests

Skills

Availability

References (Give complete information for two non-relatives)

Reference #1 Name

Reference #1 Address

Reference #1 Contact Info (Phone and Email)

Reference #2 Name

Reference #2 Address

Reference #2 Contact Info (Phone and Email)

Reference #3 Name

Reference #3 Address

Reference #3 Contact Info (Phone and Email)

Confidentiality

I agree to treat any specific personal information I may gain through my volunteer work/service with Joshua's Camp with absolute confidentiality.

Confidentiality Signature

Today's Date

Criminal Background

Have you ever been charged or convicted with any crime, other than a minor traffic offense?

Yes

If Yes, Please Explain.

Application Signature

Acceptance as a Joshua's Camp volunteer is subject to a Criminal Background Check with NO RECORD and a positive response from two references provided above.

AUTHORIZATION FOR CONDUCTING BACKGROUND CHECK FOR THE PURPOSE OF ACTING AS A VOLUNTEER FOR JOSHUA'S CAMP CORPORATION:

Applicant Signature

Today's Date

Please attach a copy of photo id or drivers license

Upload File

Thanks for submitting!

Joshua's Camp Volunteer Application