Health & Wholeness Volunteer 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 Phone
Work/Cell Phone*
Profession
Area of Specialization
Certifications /Specialized Training
Have you volunteered before?*
- Yes
- No
In what capacity did you volunteer?*
In what area would you like to volunteer within the Health & Wholeness Ministry
AVAILABILITY
Available 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)
VERIFICATION
Verify 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*

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AVAILABILITY