The Shepherd's Staff

Full Name (Required)

Full Address

Telephone numbers in your order of preference

Phone (1)

Phone (2)

Phone (3)

Email addresses in your order of preference

E-mail Address (1) (Required)

Emergency Parent/Guardian Contact Information

Name

Relationship

Phone

Have you received any services from The Shepherd's Staff?

Bi-lingual? (indicate languages)

Availability (check all that apply)

Area's of Internet (check all that apply)

Ongoing Needs

Special Events

Do you need service hours for volunteering?

If Yes, select one below and specify number of hours needed

School/Service Learning Community Service

Community Service hours needed

Other memberships, affliations (religious, service, professional)

Previous volunteer and/or work experience which would be helpful to us in deciding where your gifts and talents will be best utitilized

How did you hear about The Shepherd Staff?

Briefly describe the reasons you desire to volunteer for The Shepherd's Staff?

Please acknowledge that you have read and agreed to the terms. Answering Yes will serve as agreement and electronic signature

I understand that before I may begin volunteering, I will be expected to sign a Volunteer Agreement Form indicating that while volunteering for The Shepherd’s Staff or while representing The Shepherd’s Staff at any outside event or function, I agree to abide by each of The Shepherd’s Staff policies set forth regarding:

Code of Conduct & Dress Code
Confidentiality Statement
Consent Release for a Youth Volunteer
Photo Release

I will be given a copy of each of the above policies and understand that non-compliance with any set policy will result in immediate dismissal regardless of my position with the organization.

The Shepherd's Staff will need to send a follow up to your parent/guardian for consent to allow you to volunteer.

Today's Date

Youth Volunteer Application