Volunteer Registration

COVER THE CHILDREN MINISTRIES INC.
"Choices” a Call to Salvation to Live or Die
1ST Annual Conference Volunteer Application

Contact Information Name* : Street Address* : City ST ZIP Code* : Home Phone* : Work Phone : E-Mail Address* : Availability During which hours are you available for volunteer assignments? Weekday Mornings Weekday Mornings Weekday Afternoons Weekday Afternoons Weekday Evenings Weekday Evenings

Interests During which hours are you available for volunteer assignments? Altar Workers Team Intercessory Team Registration Team Personal Valet Team Deaf Ministry Team Internet Response Team Sales Team Vendor Team Donations Team Nurses Team Sponsor Team Youth Explosion Praise & Worship Team Finance/Offering Team Administrative Assistant Team Transportation Team Security Team Hospitality Team Production Team V.I.P. Team

Special Skills or Qualifications Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. Previous Volunteer Experience Summarize your previous volunteer experience.

Person to Notify in Case of Emergency Name : Street Address : City ST ZIP Code : Home Phone : Work Phone : E-Mail Address : Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Name (printed) : Signature : Date :

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering with us.