VOLUNTEER APPLICATION - Ambu Ministry

Our organization encourages the participation of volunteers who support our mission. If you agree with our mission and are willing to be interviewed and trained in our procedures, we encourage you to complete this application. The information on this form will be kept confidential and will help us find the most satisfying and appropriate volunteer opportunity for you.

Thank you for your interest in our organization.

Name*

First

Last

Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Email*

Email

Phone

Identification#

Type of ID

Employer

Position

Any special talents or skills you have that you feel would benefit our organization?

Interests: Please tell us in which areas you are interested in volunteering*

Please indicate days available:*

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Any physical limitations?*

Any physical limitations?

Emergency Contact No:

Consent*

I agree to the privacy policy.

As a volunteer of Ambu Ministry, Inc., I agree to abide by the policies and procedures. I understand that I will be volunteering at my own risk and that the organization, its employees and affiliates, cannot assume any responsibility for any liability of any accident, injury or health problem which may arise from any volunteer work I perform for the organization. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment.

Name

This field is for validation purposes and should be left unchanged.