Volunteer Sign-up

Volunteer Sign-up Form

(Fields with an * are required.)

Personal Information

Full Name *
Nickname
Address *
City *
State *
Zip Code *
Primary Phone *
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    Secondary Phone
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      Email Address *
      Date of Birth *
      Gender *

      Emergency Contact

      First Name *
      Last Name *
      Primary Phone *
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        Secondary Phone
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          Relationship

          Employer

          Company Name
          Position Title
          Start Date

          References (Non-Family)

          References 1:

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          Last Name *
          Primary Phone *
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            Secondary Phone
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              Email Address *
              Relationship

              References 2:

              First Name *
              Last Name *
              Primary Phone *
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                Secondary Phone
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                  Email Address *
                  Relationship

                  Education

                  Highest Degree Obtained
                  School

                  Availability

                  Please indicate the days and times you are usually available to volunteer.

                  Sunday From:
                  Sunday To:
                  Monday From:
                  Monday To:
                  Tuesday From:
                  Tuesday To:
                  Wednesday From:
                  Wednesday To:
                  Thursday From:
                  Thursday To:
                  Friday From:
                  Friday To:
                  Saturday From:
                  Saturday To:
                  My Availability Is
                  Start Date
                  End Date

                  Volunteer Interest

                  Skills:
                  Childcare
                  Nurse
                  Handyman
                  Lawyer
                  Pastor (Ordained/Licensed)
                  Counselor (Licensed)
                  Doctor
                  Mechanic
                  Photographer
                  Chef/Cook
                  Hair Stylist
                  Landscaping
                  Painter
                  Teacher
                  Interests:
                  Driving
                  Donation Support
                  Bible Study/Chapel
                  Facility Care
                  Life Skills Training
                  Cleaning/Organizing
                  Landscaping/Grounds
                  Food Service
                  Mentoring
                  Children
                  Education/Tutoring
                  Other

                  Addiction History & Criminal Background

                  Do you have a history of addiction?
                  No
                  Yes
                  Have you been convicted of a crime?
                  No
                  Yes
                  Please explain any "Yes" answers to the questions above.

                  Additional Information

                  Why would you like to volunteer?
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                  Christian Aid Center - Walla Walla Rescue Mission
                  OUR MISSION at the Christian Aid Center is to serve Jesus Christ by providing restoration and compassionate love to those in need.

                  Contact

                  CHRISTIAN AID CENTER
                  Walla Walla Rescue Mission
                  211 W Birch Street
                  PO Box 56
                  Walla Walla WA 99362
                  509-525-7153

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