ECC Bergen County Volunteer Application

FOR USE BY REQUIRED COMMUNITY SERVICE VOLUNTEERS AT EMMANUEL CHRISTIAN CHURCH

Please complete the form below

Name

First Name

Last Name

Email Address

Primary Phone Number

(###)

###

####

Can we text you at your Primary Number if needed?

Do You Attend ECC?

If YES For How Many (Months/Years)?

HOW DID YOU HEAR ABOUT ECC VOLUNTEERS?

PLEASE TELL US THE GROUP, SCHOOL, and/or COMMUNITY PROGRAM YOU ARE WITH:

WHEN AND WHAT TIMES ARE YOU AVAILABLE?

NAME AND PHONE NUMBER OF PERSON IN YOUR ORGANIZATION RESPONSIBLE FOR YOUR HOURS

WHERE WOULD YOU LIKE TO SERVE?

PLEASE LIST TWO REFERENCES, INCLUDING NAME AND CONTACT INFORMATION

(Please Include Name and Valid Phone and/or Email)

ARE YOU ON PAROLE?

ARE YOU ON MEGANS LIST?

Do you have any food allergies or other medical conditions that we should be aware of for emergency purposes?

I agree to have my references contacted by the church.

Yes

VOLUNTEER SIGNATURE (By typing your name is this field you confirm that the information provided is accurate and that the church has permission to contact your references if needed).