Mission Tracker - Volunteer Application

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Organization

Hope Gospel Mission

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First Name

Last Name

Username

Job Title

Note: If you need any of your personal information changed, please see your immediate supervisor.

Username

Email Address

Mobile Phone Number

Password

Volunteer Application

*If you are applying as a group, please use the group application form.
Questions? Contact the Volunteer Coordinator by e-mail at volunteer@hopegospelmission.org or by phone at (715) 491-0905.
Note: If you are under 18, you'll need an adult to volunteer with you.

Basic Information
First Name	Middle Name	Last Name
Birth Date	Gender Male Female

Home Address

Address		Suite/Apt
City	State	Zip
Phone	Cell Phone	E-mail
		Confirm E-mail Address

Personal History

Do you have any limitations or medical conditions we should be aware of? Yes No

If yes, please explain:

Have you ever been convicted of a felony? Yes No

If yes, please explain:

Emergency Contact Information

First Name

Last Name

Relation

Phone

Additional Information
Present Employment		Job Title
Past Employment Experience
Religious Background	Current Church	Pastor
How did you hear about Hope Gospel Mission?
Why would you like to volunteer with Hope Gospel Mission?
What skills, gifts, or experience would you be able to contribute?

Previous Volunteer Experience

Organization	Supervisor	Job Title
Organization	Supervisor	Job Title

References

Name	Relationship to You	Phone
Name	Relationship to You	Phone

Commitment

What type of commitment can you offer? One-time Once in a while Ongoing

Please explain:

Position Interests

Please indicate whether you are interested in helping with a holiday meal. (We will contact you to go over the details.) Easter Community Dinner Thanksgiving Community Dinner Christmas Community Dinner

Please check all volunteer positions that interest you and that you feel qualified to do. If you need more information about a position, contact the Volunteer Coordinator for details. Not all positions may be currently available. Admin Assistant
House Assistant, Hope Renewal Center(s)
Shuttle Driver, Hope Renewal Center(s)
Team Member, Hope Bargain Center (Group & Individuals)
Team Member, Building Hope (Group & Individuals)
Meal Service, Hope Renewal Center(s) (Group & Individuals)
I'd like to help, but I don't know exactly how yet.

Comments

I hereby state that all information supplied in this application is true to the best of my knowledge and give Hope Gospel Mission permission to contact the references I have provided.