Volunteer Information

Volunteer Application

* Required Fields

Contact Information

I understand that I am subject to a background check. I affirm my information is true and I have made no false statements.

First Name

Middle Initial

Last Name

Other Names Used

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Date of Birth
(mm/dd/yyyy)

Race/Ethnicity

Gender

Faith Community

Does your employer match your gift or volunteer hours?

Employer Name:

Emergency Contact Information

Emergency Contact Name

Relationship to you?

Emergency Contact Phone Number

Emergency Contact Email Address

Volunteer Information

Why do you want to volunteer?

How did you hear about us?

Please list previous volunteer experience

Days and time available

How long have you lived in Washington State?

Have you lived outside the US in the last 10 years?

Education or volunteer credit hours?

Court-ordered community service?

I acknowledge my photo may be taken during my service for promotional purposes.

Are You currently in School?

School Name

Are you currently employed?

Employer Name

Programs to Volunteer

Administration

Communication

Finance

Interfaith Gatherings

Mail_Rep_Payee

Shared Housing

Are you over 18?

Associated Ministries 901 S 13th St, Tacoma, WA 98407 253-383-3056 www.AssociatedMinistries.org