Volunteer Information

Volunteer Application

* Required Fields

Contact Information

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Cell Phone

Birthdate

Gender

MaleFemale

Volunteer Information

How did you hear about us?

Why do you want to volunteer?

Place of Worship

Do you have any physical needs
that require special arrangements?

If yes, please explain

Days and time available

How often do you want to volunteer?

Once a weekOnce a monthOne timeEvery now and then

Are you signing up as an individual, or do you want to bring a group to volunteer?

IndividualGroup

What is the name of your volunteer group, and how many people will you be bringing?

Skills and Experience

Education

Employer

Volunteer Skills & Additional Information

Volunteer Interests

Serve a Meal

Clean and Organize

Pick Up Food

Help Job-Seekers

Drive Residents

Coffee Service

Deliver Furniture

Be a Peer Support

Re-Entry Program Volunteer

Go Inside the Jails

Office Work

Garden

Laundry Ministry

Emergency Contact

Emergency Contact & Relationship to You

Emergency Contact's Phone Number

Volunteer Agreement

Would you consent to a background check?

Have you ever been convicted of a felony?

Do you have a valid driver's license?

Is there any other background information you would like to disclose?

I approve of Lexington Rescue Mission taking photographs of me and sharing them on social media and in print publications.

Submitting Application

Submitting Application Once you click the Submit Button, you will receive the Waiver and Volunteer Handbook Agreement and the Confidentiality Agreement from the Volunteer Coordinator