Lutheran Children and Family Service
Volunteer Application Form
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| First Name * | Last Name* | Date of Birth |
| Address | City |
| County * | State | Zip |
| Phone (day) | (evening) | |
| Group or Congregation |
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| Gender * | Race * | |
| Country of Origin * | Primary Language* |
| Secondary Languages |
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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 |
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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?
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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:
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What groups do you prefer working with?
(Check all that apply)
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What clerical skills are you able and willing to volunteer?
(Check all that apply)
If Other, please specify:
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Where and when can you volunteer?
Do you have a geographical preference for your volunteering?
If Other, please specify:
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Do you have access to transportation?
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When are you available to volunteer?
If Other, please specify:
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How often can you volunteer?
Comments
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Do you have to complete a certain number of hours?
Number of Hours By (date)
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How did you hear about us?
(Check all that apply)
If Other, please specify:
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References
List the Name, Address, and Phone Number of two (2) personal references.
(Include persons that require proof of completion of hours.)
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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.
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