Volunteer Application

Please complete this application form if you are interested in becoming a volunteer with Outreach Community Ministries, Inc. Once you complete the form, click the submit button at the bottom.

Contact Information

First name:

Last name:

Middle name:

Title:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Spouse's name (If applicable):

How did you learn about Outreach? If someone referred you to us, please provide their name.

Demographics

The following information is collected to be used in grant applications that require demographic of volunteer population. Thank you for your willingness to provide the information.

Date of birth:

Age:

Gender:

Education:

Ethnicity:

Marital status:

School:

Church Affiliation:

Employer

Please list your current or most recent employer, if applicable.

Employer name:

First name:

Last name:

Title:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Work phone:

OK to call here

Email address:

Skills & Experience

In which of these areas do you feel you have moderate to excellent skill? Check all that apply.

Availability

Please indicate the days/times you are usually available to volunteer.

References

Please provide the following information for three (3) people who have known you for at least one year, who are not related to you and who have knowledge of your character and qualifications. These should be one of each of the following: Church Pastor or Elder, Current or Former Employer and Social Friend.

1

2

First name:

Last name:

Street 1:

City:

State:

Zip:

Email address:

Relationship:

3

First name:

Last name:

Street 1:

City:

State:

Zip:

Email address:

Relationship:

Site & Program Preference

OCM has service sites in Wheaton, Carol Stream, Lombard and Warrenville with a variety of volunteer opportunities at each.

What site and program are you most interested in volunteering? Why?

Emergency Contact

Who would you like us to call in the event of an emergency while you are volunteering with us?

First name:

Last name:

Home phone:

Work phone:

Cell phone:

Relationship:

Email

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email. However, we will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic newsletters

Recruitment appeals

Checklist reminders

I Agree

I understand and agree that submitting this application form does not automatically register me as a Outreach Community Ministries, Inc. volunteer, and that there are certain qualifications I must meet, including the acceptance of established volunteer policies and procedures and a fingerprint background check before I may begin volunteering.

By submitting this form, I attest that the information I have provided on the form is true and accurate.

Introduction

Outreach Community Ministries is committed to conducting all of its programs and activities in a safe manner and holds the safety of its participants and volunteers in high regard. However, volunteers participating in any program or activity must recognize that there is an inherent risk of injury when choosing to participate in activities. OCM continually strives to reduce such risks and insists that all volunteers and participants follow safety rules and instructions that are designed to protect everyone’s safety.

Warning of Risks in Programs and Activities

OCM has many programs and activities that engage the physical, mental, and emotional resources of the volunteers and participants. Despite careful and proper preparation and instruction, there is still the risk of injury. Volunteers must understand that certain risks, dangers, and injuries may exist in the programs and activities. In this regard, it must be recognized that it is impossible for Outreach Community Ministries, Inc. to guarantee absolute safety.

Pledge of Responsibility We ask each volunteer to sign below. By signing this statement, you are agreeing to assume all responsibility for self and belongings and to not hold Outreach Community Ministries, Inc. liable for any injury, damage or loss that may be sustained while participating in volunteer activities or programs.

I Agree

Complete Application | Privacy Policy