Volunteer Sign-Up

Volunteer's Name

First Last

Street Address City

State

Zip Code

Email

Mobile Phone

Home Phone

Church Membership

Emergency Contact

First Name (Emergency Contact) Last Name (Emergency Contact)

Emergency Contact Phone

Employment Information

Employer Name

Job Title

Years with Current Employer

Volunteer Application

Which site are you interested in performing volunteer work?

Which program(s) are you interested in volunteering for?

*Street Smart is available at our Graham location only.*

How did you find out about Streets Ministries?

Why are you interested in volunteering at STREETS MINISTRIES?

References

Please include individuals who are not family members.

Reference 1 Name*

First (Ref 1) Last (Ref 1)

Reference 1 - Phone

Reference 1 - Email

Reference 1 - Define your relationship with this reference

Reference 2 - Name*

First (Ref 2) Last (Ref 2)

Reference 2 - Phone

Reference 2 - Email

Reference 2 - Define your relationship with this reference

Background

Have you ever been convicted of a crime (other than a misdemeanor), including any sex-related or child-abuse related offenses? (Please answer yes or no)

May we conduct a criminal background check to verify this, as well as a driving record check?

Please type your name to sign your application

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