Health & Wholeness Volunteer Form VOLUNTEER INFORMATION FORM Today's Date* Date Format: MM slash DD slash YYYY Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Address* Street Address City State / Province / Region ZIP / Postal Code Email* Home PhoneWork/Cell Phone*ProfessionArea of SpecializationCertifications /Specialized TrainingHave you volunteered before?*YesNoIn what capacity did you volunteer?*In what area would you like to volunteer within the Health & Wholeness MinistryAVAILABILITYAvailable Time of Day?* Morning Afternoon Evening Your Availability?* Monday Tuesday Wednesday Thursday Friday Saturday Sunday Select Your Preferred Location?* DT Campus - Sunday Service (8am - 12pm) VERIFICATIONVerify Information*I verify this application to be true to the best of my knowledge. I understand that submission of this Volunteer Application will authorize St. John’s UMC to conduct a criminal background check on behalf of the Health & Wholeness Ministry and by signing this application I give my permission to complete this part of the volunteer screening process.Enter Your Initials Below*