Faith’s Lodge
Volunteer Application - page 1 of 2
Please fill out the following application completely.
GENERAL INFORMATION
Name
:
Address
:
City:
State:
Zip:
Home Phone
:
Work Phone:
Cell Phone:
Best time and number to reach you at:
Email
:
Birthdate:
Person to Notify in Case of Emergency
:
Name and Relationship:
Street Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
EMPLOYMENT
Employer
:
Address:
City:
State:
Zip:
Phone:
Are you a current employee or retired
?
Does your company provide in-kind or cash donations based on your volunteer hours?
REFERENCES
Please provide complete names and addresses for two references. References should not be family members.
Name
:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Relationship:
Name
:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Relationship:
this information
