Volunteer Application

Name*

First Last

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Home Phone*

Mobile Phone*

Emergency Contact

Name/Phone Number*

Are you a Member of EBC?*

Yes
No

What ministries do you participate in at EBC?*

Have you previously volunteered at EBC?*

Yes
No

Interest*

In which areas are you interested in serving? Please list up to three:

Special Skills and Qualifications*

Previous Service Experience
Please summarize any previous service experience obtained at EBC or your affiliation with a civic, community service or social organization.

Availability*

Weekday(s); Weekend

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

Hours*

8AM-12PM
12PM-5PM
5PM-9PM

Are you willing to submit to a background investigation?*

I hereby authorize Emmanuel Baptist Church to receive information from any law enforcement agency including the police and sheriff's departments of any state or federal government, to the extent permitted by state and federal law, pertaining to any conviction I may have had for violation of state and federal criminal laws, including but not limited to, convictions for crimes committed upon children.** I release Emmanuel Baptist Church of any liability related to my participation in the service projects.
I affirm that facts set forth are accurate. I understand that any false statements or misrepresentations in this form may be grounds for me to be asked to step down as a member of the EBC Volunteer Ministry.

Yes
No

Emergency Contact

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