Volunteer Application Original Next Steps Volunteer Application 5 Minute Personality TestApplication saves automatically at each step.… loading previous data1234Personal Information AddressHow Long at above address?Previous Address (Required if at current address < 3 years)Contact InformationHome Phone Work Phone Cell Phone Drivers License DL Expiration Social Security # Date of Birth Additional Info How were you referred to FCG? Please indicate the highest level of education completed: Do you have any additional training? EMERGENCY CONTACTS Person 1Name Phone Person 2Name Phone EMPLOYMENT HISTORY Job 1Start Date End Date Employer Position Experience Job 2Start Date End Date Employer Position Experience Job 3Start Date End Date Employer Position Experience PROFESSIONAL REFERENCES Person 1Employer Position/Title Phone Person 2Employer Position/Title Phone Skill Set(s) Administrative Fundraising Graphic Design Grant Development Career Development Community Dev. Community Service Marketing / P/R Mentoring Music/Drama Newsletter Prayer Spiritual Enrichment Program Development Script Writing Special EventsTelevision/ProductionTrainingVideo EditingVolunteer ServicesWeb DevelopmentWorkshop DevelopmentYouth ServicesBackground Information Other than a minor traffic violation, have you ever been arrested or convicted of any crime Yes NoAre you or have you ever been the subject of a child abuse or mistreatment case, or been penalized for mistreatment of a child? Yes NoPlease describe the experience, skills, talents or qualities that make you a good candidate for this program (include any previous volunteer experience): Volunteer Information What concerns do you have regarding being a volunteer? What do you hope to accomplish in being a volunteer? Please indicate your preferred level of participation: Short-Term Long-Term Project InternshipWeekday Availability Monday Tuesday Wednesday Thursday FridayEvening Availability Monday Tuesday Wednesday Thursday FridaySaturday Availability Morning Afternoon Projects OnlyAre you willing to faithfully commit a minimum of twelve months to this program? Yes NoIf no, how much time are you willing to commit? If seeking hands on opportunity, with which age group do you prefer to work? Elementary School Middle School High SchoolShirt Size Small Medium Large X-Large 2XLAgreement I understand that as a part of the volunteer verification and matching process, additional personal information may be required of me through an interview with Four Corners Group’s staff. I certify that my statements in this application are true, complete and correct to the best of my knowledge and belief. I hereby authorize Four Corners Group to contact the references listed and to conduct whatever investigation and background checks are necessary to determine if I will be an approved volunteer. I also hereby authorize Four Corners Group, without limitation, to copy, publish, exhibit or distribute photographs or video tapes of my volunteer activities for the purpose of promoting volunteerism. I release and agree to hold harmless from liability any person or organization that provides information. I also agree to hold harmless Four Corners Group and the officers, employees and volunteers thereof.Clear SignatureYour signature was last recorded: Registration completed!
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