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Volunteer Application (18 years & older)

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Contact Information


Volunteer and Employment Experience

Company | Supervisor's Name | Email | Phone Number

Additional Information

Do not disclose any conviction for wich the records have been sealed, expunged or subject to deferred adjudication.

Include dates, charges, resolution, etc.

Describe how he/she has impacted you?

Write "None" if you have no experience

Personal, Professional & Pastoral References

Please list 3 references who know you well (other than relatives). Please let your references know a Rocketown staff member may be calling them.

Name | Relationship | Email | Phone Number

Name | Company | Email | Phone Number(s)

Name | Church or Ministry | Email | Phone Number(s)

By signing this application, I certify that this application is complete and accurate to the best of my knowledge, that I have not made any attempt to conceal information, and that falsification could be cause for dismissal.  Furthermore, Rocketown or its agents may request employment information from my previous employers and persons or corporations who provide information related to my pprevious employment and will be released from any liability or damage.

I understand that employment will be subject to:

  • Passing any and all backgroud checks and drug screenings deemed necessary by Rocketown's HR Dept.
  • Receiving satisfactory reference reports.
  • Receiving favorable reports from any outside agency on verification of information supplied.