General Volunteer Information Form

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Home Phone*

Work Phone

Cell Phone

Email*

Occupation

Employer

Full-Time/Part-Time

Full-Time
Part-Time

Best time of week to be contacted*

Preferred means of contact*

Phone
Email

General availability during the month

Total hours available per week*

Helping with the grounds and/or building cleanup at the Crossroads facility

Please describe the days of the week as well as morning (am) or evening (pm) and the hours you are available to help.

Our current need:

Helping with the babies and toddlers on a Tuesday evening from 5:15 to 7:45.

First Week
Second Week
Third Week
Fourth Week
Fifth Week

This would be a once-a-month commitment to alleviate volunteer burnout. If you could do more that would be a blessing

I would like to volunteer with the “Pathways to Parenting” Class by:

Teaching or Assisting special interest class(es) in:

Are you active in a local church?

Yes
No

What training or experiences do you have which might be useful in working with Crossroads Ministry?

What skills, spiritual gifts, or talents do you have which might be utilized in a volunteer position with Crossroads Ministry?

What are some skills you would like to develop through volunteering with Crossroads Ministry?

What are your hobbies?

If you could do anything for God without fear of failure, what would it be?

I certify that all information provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration, and may result in my removal if discovered at a later date. All information gathered on this form will be review by Crossroads Ministry staff for the purpose of screening and placing potential volunteers.*

I Agree

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