MOPS KIDS VOLUNTEER FORM
Please give us some information if you would like to volunteer in this ministry.
Email address *
Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Primary Phone # *
Your answer
Secondary Phone # *
Your answer
Date of Birth *
Your answer
Emergency Contact *
Your answer
How did you learn about the MOPS KIDS volunteer position? If through a MOPS member, please give their name:
Your answer
Have you been trained or certified in CPR? *
If you answered yes, when?
MM
/
DD
/
YYYY
Which age group would you prefer to work with (check all that apply): *
Required
Do you foresee being unable to attend MOPS KIDS anytime during the 2017-2018 year due to vacations or other commitments? If yes, please list dates.
Your answer
If you have any physical or personal situations that might impede your full participation in the MOPS KIDS program (physical limitations, other responsibilites, etc.) please explain.
Your answer
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