ISM Volunteer Application

Please fill out this form and click submit.

General Information:

Name

*

Date

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Gender

*

Please select one option.

Male Female

Birth Date (mm/dd/yy)

*

Marital Status

*

Please select one option.

Married Single Other

Maiden Name/Other Last Name

Number of Children

Spouse's Name (If Married)

*

Social Security Number (required for background check)

*

Are You A Student?

Please select one option.

Yes No

If so, where at?

Serving Opportunities

Please check area(s) of interest...

Small Group Leader

Please select one option.

6th Grade Boys 6th Grade Girls 7th Grade Boys 7th Grade Girls 8th Grade Girls 8th Grade Boys 9th Grade Girls 9th Grade Boys 10th Grade Girls 10th Grade Boys 11th Grade Girls 11th Grade Boys 12th Grade Girls 12th Grade Boys

Other

Please select one option.

Check-In Cafe Tear Down Team Special Events

Personal References

List two people, that you have known for at least a year, that would have knowledge of your character and ability to work with students. Please do not list relatives.

Reference #1's Name

*

Address

*

Relationship

*

How long has this person known you?

*

Phone

*

Reference #2's Name

*

Address

*

Relationship

*

How long has this person known you?

Phone

*

Applicant Statement

The information contained in this application is correct to the best of my knowledge. I give ISM permission to complete a background check on me. I authorize any references listed in this application to give you any information they may have regarding my character and fitness for service in ISM. I release all rights that I may have to inspect the references provided on my behalf.

Applicant's Signature (Type Name)

*

Date

*

Description

Please fill out this form and click submit.

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