One moment please...
I would like to Volunteer!
Personal Information
First Name
Middle Name
Last Name
Date of Birth
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Email
*
Verify Email
*
Drivers License #
Social Secruity NO. (required)
*
Ethnic Background
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White
Black
Asian or Pacific Islander
American Indian or Alaskan Native
Other
Gender
*
Female
Male
Organization/Employer
Any Residences out side of Michigan in the last 10 yrs?
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YES
NO
Previous Residences (for last 10 years)
Previous Residences (for last 10 years, City & State)
I am interested to Volunteer with:
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Event Team
Development Team
Program Team
Camp/Backpacking Staff
Prayer Partner
Teen Bible Study
Parent Academy
Life Skills Programs
Event Support Staff
Community Service Event Staff
Anything...Just plug me in where you have a need!
I would like to VOLUNTEER my expertise in:
Only check a box below if you have special expertise in an area below you would like to offer.
Marketing
Life Skills Instruction
Video
Website Development
Event Management
Grant Writing
Bible Study Writing
Volunteer Management
Donor Relations
Construction
Drama/Acting
Other ways I can help:
Past Work or Volunteer Experience:
Experience working with youth in other organizations? Please provide contact information and dates.
Personal Reference1: Name & Telephone number
*
Personal Reference 2: Name & Telephone number
*
Personal Reference 3: Name & Telephone number
*
Have you ever been arrested for a criminal offense; other than minor traffic violations?
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YES
NO
If YES to criminal question 1: please give date and nature of conviction
Has your driver's license ever been suspended or revoked?
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YES
NO
If YES to crirminal question 2: please give date and nature of conviction
Have you ever been investigated for, accused of, or charged with abuse or neglect of a minor child?
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YES
NO
If YES to criminal question 3: please give date and nature of conviction
Authorization to Perform Background Check
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I hereby authorize and unqualifiedly grant permission to Remembrance Ranch and its administration to make inquiries and to obtain any records from law enforcement and/ or judicial authorities to determine whether any record of criminal conviction exists and whether there are any felony charges pending against me, including the nature of the offense.
Date
(mm/dd/yyyy)
Electronic Signature
*
Name
First Name
Last Name
