Please complete this application form if you are interested in becoming an Empact Ministries, Inc volunteer. Once you complete the form, click the 'Continue' button at the bottom.

Personal Information

Note: All information in this application must be kept strictly confidential and shall be used in the management of Empact Ministries' services and programs. Must be at least 18 years of age to volunteer.


Group Information


Emergency Contact Information


Volunteer Preference and Availability


Volunteer Preference and Availabilty

I wish to volunteer my services to Empact Ministries Inc. I understand that the nature of the volunteer activities typically performed with Empact Ministries Inc., may involve physical activity, contact with unidentified and unfamiliar persons, travel to and from various locations and other potential risk of injury. Knowing this, I still wish to volunteer and hereby assume the risk of injury and agree to hold Empact Ministries Inc., harmless from and liability for injury to my person or property. I certify that the facts contained here are true and complete to the best of my knowledge and understand that if I volunteer for Empact Ministries Inc., false statements shall be the grounds for dismissal.