CORM Volunteer Application
Please read carefully and answer the following questions honestly. Your answers to these questions will not necessarily disqualify you for acceptance. The information you share with us will be treated as confidential.

***If you are interested in volunteering with City of Refuge Ministries for any reason please be sure you have received your letter of invitation prior to purchasing your airline tickets.***
Email address *
Full Name ( as it appears on your passport) *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
State *
Your answer
Phone Number
Your answer
Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Marital Status *
Your answer
Passport Number *
Your answer
Proposed Dates of Trip *
MM
/
DD
/
YYYY
Confidential Information
Have you ever had a conduct hearing or disciplinary measures taken regarding your behavior on a school campus? *
If yes please explain
Your answer
Have you ever been convicted of a felony? *
If yes please explain
Your answer
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