Thank you for your interest in volunteering at DaySpring Villa. In order to find the best way for you to assist the ministry, we would like some information about you and your interests. Please type in your answers. Also, please be aware that each volunteer is subject to a background check in compliance with the Department of Human Services regulations. In signing this application, you are giving authorization for DaySpring Villa to investigate your background as necessary for the consideration of your application. By clicking submit, this form will be sent to the Volunteer Coordinator. Thank you.

PERSONAL INFORMATION:

Name:

Address: City: State:

Home Phone, (area code first): Work Phone, (area code first):

EMail Address: Are you a Christian? YESNO

Where is your Church Membership?

Education (highlight last year completed) 1 2 3 4 5 6 7 8 9 10 11 12 College: 1 2 3 4 +

Other Training, (List types and years):

EMPLOYER INFORMATION:

Name:

Address:

Phone, (area code first):

Days Preferred to volunteer:

Times Preferred to volunteer:

FOR ADOLESCENT PROGRAM ONLY:
Date of Birth: Social Security #:
Alias Names: Race:

AREAS OF INTEREST:
(Press and hold the Control Key to click on multiple interests)

Office Assistant:
Answering Telephones Computer Skills, specify below Bulk Mailing, 4 Times per year

Miscellaneous Interests:
Child Care Assistant House Staff Medical Assistance Beautician Housekeeping Transportation Care Partners Prayer Partners Extended Session on Sunday mornings Other, please indicate below

Grounds and Building Maintenance:
Lawn Work Repairs Carpentry Electrical Plumbing

Education:
(Please indicate what areas you would be willing to teach here.)

Other/Specifications:

THANK YOU!