This introductory application allows Volunteer Ministries staff to get to know the experiences and skills you offer for a volunteer placement. Completion of this form begins the application process but does not commit you to participation nor guarantee placement. Volunteer Ministries staff will electronically send you the second part of the application and forms for written references. Application will be considered complete when parts I, II and reference forms have been returned to:
Volunteer Ministries
Title
Name
Address
City
State
Zip Code
Country
Phone
Cell Phone
Do you use Texting?
Yes Texting
No texting
Fax
E-mail Address
Date of Birth (mm/dd/year)
EMERGENCY CONTACT (Person who can always reach you)
Name
Address
City
State
Zip Code
Country
Phone
Cell Phone
Fax
E-Mail
Your Availability for a Placement with a Young Adult Service Community
September 2013 - August 2014 Young Adult Service Communities
Types of Skills and Experience You bring (Check all that apply)
Languages Spoken or Written
Hospitality Your Experience:
Financial Management Your Experience:
Database Development Your Experience:
Building Trades Your Experience:
Direct Social Service Your Experience:
Instruction/Teaching Your Experience:
Driver's License; Class & Certifications Class:
Communications Your Experience:
Office Skills Your Experience:
Agriculture/Environment Your Experience:
Community Organizing Your Experience:
Case Management Your Experience:
Other Skills ~ Please list:
Possible Service Settings ( Indicate Interest by 1, 2, 3, 4, 5 with 1 as little interest and 5 as great interest.)
Immigration & Border Ministries
Elderly
Homeless Shelters
Inner City Ministries
Direct Social Service
Worker's Rights
Community Organizing
Children
Food Programs
UCC wider church
Other
Please Explain:
UCC Young Adult Service Communities in Network
Locations in Order of Preference:
September 2013 - August 2014
September 2013 - August 2014
September 2013 - August 2014
September 2013 - August 2014
September 2013 - August 2014
Direct Service Settings: Old First Wellspring Program (Food and Clothing Cupboard), Broad Street Ministry (Food Program), Bethesda Project Homeless Shelter
"Westmoreland Volunteer Corps" Setting: Washington, DC - Case Workers fields of health care, homeless populations, social services.
** WVC has a separate application procedure. Please visit www.westmorelanducc.org
September 2013 - August 2014
How did you learn or hear about this program?
