Date Name
Mailing Address
City State Zip
Phone Number
E-mail Address
Date of Birth JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember 01020304050607080910111213141516171819202122232425262728293031 (year)
Do you speak any other languages? yesno
If yes, which language(s)?
How long have you attended Christ Community Church?
What day(s) are you available to mentor from 3:00-4:00 pm?
Tuesday Wednesday Thursday
Previous Volunteer Activities:
Mentor qualifications:
I meet the mentor qualifications.
If you are volunteering as a mentor and have a prayer partner in mind, please give us his/her contact information below:
Name
VOLUNTEER PLEDGE
If I am assigned as a school volunteer, I accept the responsibility to serve in support of the educational program and supplement the work of the professional staff under its supervision. I understand that it is important to be reliable, channel suggestions constructively, keep information confidential, and comply with school rules.
A very positive benefit when working with students is the relationship developed between the volunteer and the student. We take seriously the relationships which are formed. For this reason, we check references of our volunteers through the legal system.
By submitting this form, I authorize Christ Community's KID'S HOPE USA Director to make such inquiries. I also agree to the responsibilities listed above.
I have read and agree to the Volunteer Pledge.