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COMMUNITY VOLUNTEER APPLICATION

Thank you for your interest in volunteering with the Church Street CRC. Please complete the form below and one of our staff will contact you once your application is processed.

Ronald Barnes III
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4580 Valley Pkwy SE Apt. D
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Smyrna
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Georgia
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30082
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404-784-9391
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ronaldbarnes550@gmail.com
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How did you hear about the Church Street CRC?
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Internet Search
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3 }"PGFbvlAre you over age 18?
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No
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Tasks involving lifting items up to 50 lbs and standing for long periods of time may be required for this position. Are you able to perform functions under these conditions with reasonable accommodations?  
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Yes
Other:
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communication, problem solving, teamwork, leadership
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Sabrina Barnes
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mother
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2290-449-0296
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Are you volunteering to complete community service hours?
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No
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60
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January 31, 2026

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For what purpose are you required to perform community service? 
(*NOTE: Court mandated community service positions are not available.)

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college applications
Other:
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Please indicate the volunteer opportunities you’re interested (up to 3)

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Fitness
Assembly
Administration
Fundraising
Language
Classes
Cooking
Promotion / Marketing / Communications
Healthcare
Nutrition
Counseling
Senior Services
Where needed
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add "Other"
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What days are you available? 
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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What time periods are you available? 
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Mornings
Afternoons
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How frequently are you able to volunteer? 
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Once
Several times a week
Once a week
Several times a month
Once a month
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Kitkats
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RB3
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Agreement:

I understand that additional or role-specific training may be required to be determined by the role or tasks I am assigned.

In consideration of my participation as a volunteer with the Church Street CRC, I agree to assume all risks incidental to such participation and, on my own behalf, and on behalf of my or my heirs, executors and administrators, release and forever discharge the released parties listed below of and from all liabilities, claims, actions, damages, costs or expenses of any nature arising out of or in any way connected with my participation in such activity, and further agree to indemnify and hold each of the released parties harmless against any and all such liabilities, claims, actions, damages, costs or expenses, including, but not limited to, all attorney's fees and disbursements. I understand that this release and indemnity agreement includes any claims based on the negligence, action or inaction of any of the above released parties and covers bodily injury (including death) and property damage, whether suffered by me before, during or after such participation. I declare that I am physically fit, have the skill level required, and am able to perform the duties required for this role. I further authorize medical treatment for myself, at my cost, if the need arises. I understand that I, as a volunteer, am participating in such capacity of our own free will and that no insurance coverage is being provided on my behalf by any entity associated with the Church Street CRC. I also understand that I may be required to leave the premises should I exhibit undesirable conduct. I further grant the released parties the right to photograph and/or videotape me and further to use my name, face, likeness, voice and appearance in any form of media including, but not limited to exhibitions, television, publicity, advertising and promotional materials without reservation or limitation. I further release the aforementioned parties from any possible injury to my personal and community reputation, status or image or any other real or imagined damages arising out of or in connection with the aforementioned. I agree that I shall not be compensated in any way for the use of my name, face, likeness, voice and appearance in connection to the aforementioned. The released parties are, however, under no obligation to exercise said rights herein granted.

 Released Parties: Church Street CRC, Shiloh SDA Church, South Atlantic Conference of Seventh-day Adventists, Southern Union Conference of Seventh-day Adventists, North American Division of Seventh-day Adventists, and the General Conference of Seventh-day Adventists

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