| Date: | |
| Name: | |
| Address: | |
| City, State, Zip: | |
| Email address: | |
| Home Phone: | |
| Work Phone: | |
| Cell Phone: | |
| Occupation: | |
| Employer: | |
| Employer’s Address: | |
| Previous volunteer work experiences: | |
| Please describe any medical conditions that may pose a health or safety risk to you as a volunteer. Is there need for special accommodations due to this limitation? | |
| Please describe any educational or previous work experiences you have had that might be a valuable addition to the ministry: | |
| Do you prefer short-term or on-going assignments? | |
| Please list days and times you are available: | |
| Please indicate areas of volunteer interest: | |
| | Distribute food |
| | Maintain supply closet |
| | Building maintenance |
| | Lawn care maintenance |
| | Donation pick-ups |
| | Office support maintenance |
| | Retail/thrift store |
| | Recreation special events |
| | Data entry for THCO |
| Teaching classes: | |
| | GED tutoring |
| | Nutrition/cooking |
| | Music lessons |
| | Parenting |
| | Literacy |
| | Money management |
| Other: | |
| I wish to volunteer at Tender Hearts Ministries because: | |
| *Special qualifications required. The following section must be completed by volunteers desiring to work directly with the children for the purpose of a S.L.E.D. check:: | |
| SS#: | |
| Date of Birth: | |
| Driver’s License #: | |
| Commercial Driver’s License? | |
| References (three people not related to you) Name Address Phone: | |
| To the best of my knowledge, all the information provided on this form is correct. I understand that Tender Hearts Ministries carefully screens volunteers that interact with children through S.L.E.D. and D.S.S., and I agree to the screening process. I also understand that if I choose to have direct interaction with clients I will be required to abide by the standards, policies, and procedures set forth by Tender Hearts Ministries and the department in which I work: | |
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