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:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
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5
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30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
*
Gender:
Choose
Female
Male
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:
Choose
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Son
Spouse
Supervisor
*
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
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