Volunteer Application
Thank you for your interest in volunteering for Kingdom Builder's Family Life Center. Please Complete the following.
First and Last Name *
Your answer
Date *
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Street Address *
Your answer
City, State and Zip Code *
Your answer
Phone Number *
Your answer
Email *
Your answer
Best way to contact you? *
If phone, best days/time to call?
Your answer
Employer and Job Title *
Your answer
Emergency Contact Name and Phone Number *
Your answer
Are you an organization representative interested in notifications of group volunteer opportunities? *
If yes, how many volunteers are available from your organization?
Your answer
What type of events are you interested in? (Select all that apply) *
Required
What types of activities are you interested in? (select all that apply) *
Required
What is your availability? (select all that apply) *
Required
Please share any other information about your availability (i.e. available to work from home, more time in June and July, etc.) *
Your answer
Please describe your skills and experience you feel have best prepared you for a volunteer experience (include any past volunteer experience) *
Your answer
Why do you want to volunteer with Kingdom Builder's Family Life Center? *
Your answer
Please share any other information of which we should be made aware.
Your answer
Are you volunteering with/for your: *
Required
If you would like us to report your volunteer efforts, please provide contact information for your organization: *
Your answer
Are you 18 years of age or older? (If you are under the age of 18, your parent/guardian must complete the parent/guardian form) *
Do you agree to have the KBFLC program check your background through federal and state agencies for criminal records and child abuse and negelct proceedings? *
Date of Birth *
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DD
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YYYY
Social Security Number *
Your answer
Do you have a valid driver's license? *
State issued
Your answer
Date issued
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DD
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YYYY
Expiration Date
MM
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DD
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YYYY
Driver's License Number
Your answer
Have you ever been convicted of a crime? *
If yes, please explain
Your answer
Enter your full name as signature of this application. *
Your answer
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