Level 2 Volunteer Application

Mandatory fields are marked with an *


Last Name:
*
First Name:
*
Street address:
*
Street address line 2:

City:
*
State:
*
Zip code:
*
Home phone:

Work phone:

Cell phone:
*
E-mail: (required)
*
Confirm E-mail:
*
Are you at least 18 years of age? *
YesNo
(Level 2 Volunteers must be at least 18 years of age. Proceed with the application if you will be 18 at the time of service. If not, exit this form and explore other volunteer options with Waterfront!)


Select one: *
MaleFemale


Title: *
Mr.Mrs.Ms.Rev.Dr.


Emergency contact:
*
Emergency phone:
*


REFERENCES
Please list 2 personal references (not relatives):


1.
Name:
*
Phone:

E-mail:

Number of years known:

2.
Name:
*
Phone:

E-mail:

Number of years known:

Volunteer position desired:

Location preferred: *
Pensacola, Fla., MissionMobile, Ala., Mission


List volunteer or Christian work experience:

Please read our Level 2 Volunteer General Agreement Release before proceeding.


* I confirm I have read and agree to the release.


VOLUNTEER ACKNOWLEDGMENT
My signature below affirms that I have read the above beliefs, policies, and procedures and am able to comply with them fully.


I further understand that the consequences of a violation of the above statements may result in disciplinary action against me, including possible termination of volunteer status.


* By checking this box and typing my name in the signature space below, I am acknowledging and confirming that all the information I have provided in this Level II Volunteer application to be true and accurate and that my typed name above is confirmation of my electronic signature.


Signature:
*
Date:
*