Reality Ministries Volunteer Application

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First Name *

Last Name *

How did you hear about Reality Ministries?

Date of Birth *

YYYY

Preferred Pronouns

Which of the following best describes you?

Asian or Pacific Islander

Black or African American

White or Caucasian

Multiracial or Biracial

Hispanic or Latinx

Native American or Alaska Native

A race/ethnicity not listed here

Clear selection

Primary Email *

Primary Phone Number *

Please enter the number in this format: ###-###-####

Emergency Contact *

Emergency Contact Phone Number *

Please enter the number in this format: ###-###-####

Address *

City *

State *

Zip Code *

What is your availability? *

Your answer to this question will help us best match you! Check all that apply.

During the weekdays (for 1--2 hours M-F between 9am and 3pm)

Monday Evenings (6-7:30pm)

Tuesday evenings (6-7:30pm)

Thursday evenings (6-7:30pm)

Other:

Required

Skills/interests/hobbies

Share about any interests you want us to know, especially if you think they could be part of the Reality community.

Do you have a diagnosed intellectual or developmental disability?

Please share anything that would help us best welcome you into our community.

This could include accommodations, dietary restrictions, allergies, etc.

Submit

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