Lutheran Children and Family Service

Volunteer Application Form

Volunteer Information    *fields must be completed

First Name * Last Name* Date of Birth
Address City
County * State Zip E-mail
Phone (day) (evening)  
Group or Congregation

Gender  *  Race *
Country of Origin *   Primary Language*
Secondary Languages

Emergency Contact Information

In case of an emergency, indicate the name, address, and telephone number of the person you want to be contacted:

Name Relationship
Address   
City State Zip
Home phone Work phone

Volunteer Background

Educational Background: 

Current Occupation/School:

Previous Volunteer Experience:

Previous Social Ministry Experience:

Why are you interested in volunteering with Lutheran Children and Family Service?

Do you have any physical restrictions?

What type of volunteer experiences are you most interested in?

(Check all that apply)

   

*press and hold CTRL key to make multiple selections

If Other, please specify:

What groups do you prefer working with?

(Check all that apply) 

What clerical skills are you able and willing to volunteer?

(Check all that apply)

 

If Other, please specify:

Where and when can you volunteer?

Do you have a geographical preference for your volunteering? 

If Other, please specify:

Do you have access to transportation? 

When are you available to volunteer? 

If Other, please specify:

How often can you volunteer?

 

Comments

Do you have to complete a certain number of hours?

Number of Hours By (date)

How did you hear about us?

(Check all that apply)

 

If Other, please specify:

References

List the Name, Address, and Phone Number of two (2) personal references.

(Include persons that require proof of completion of hours.)

Statement of Agreement

As a volunteer applicant, I understand that Lutheran Children and Family Service requires a criminal and child abuse background check and may require medical documentation to be completed by my doctor.  I give Lutheran Children and Family Service staff permission to contact listed references.

By submitting this application, I attest that the above information is truthful and accurate.

Results of the Volunteer Application will be received by the LCFS Volunteer Coordinator.