Volunteer Application Form

Please complete this application form if you are interested in becoming a Grace Care Center volunteer.

Name and address

First name:

Last name:

Kind:

Individual Group

Home phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Please enter a password that:

Is between 6 and 30 characters long

Password:

Confirm password:

Date of birth:

Gender:

Allow other volunteers to see when I am scheduled

Emergency Contact

Please give us one person to contact in case there is an emergency while you are on our campus

First name:

Last name:

Cell phone:

* OK to call here

Other phone:

OK to call here

Relationship:

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however 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?

General Information
These emails keep everyone informed of general information about your volunteer assignment.

Prayer List
The Prayer list will provide you a list of prayer needs we have for the Care Center as well as some of our friends.

Updates

Confidentiality

I understand that I will be helping my neighbors and friends through the Grace Care Center and that I must respect them by not discussing their use of the Care Center except when needed to provide them excellent care. Should I meet them outside of the Care Center I promise to be friendly, but discrete and only mention the Center if they choose to do so first.

I Agree