Grace Lutheran Volunteer Application 
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Email 
VOLUNTEER AREA - CHECK ALL THAT APPLY:
Name
DATE OF BIRTH  
MM
/
DD
/
YYYY
ADDRESS  
PHONE  
CELL # or OTHER  
LENGTH OF TIME AT THIS RESIDENCE  
MEMBER OF GRACE? 
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 IF YES - LENGTH OF TIME  
If less than three years, please list PREVIOUS CHURCH
LENGTH OF TIME  
CURRENT EMPLOYMENT
PHONE  
LENGTH OF SERVICE
JOB TITLE
TWO PREVIOUS EMPLOYERS/LENGTH OF SERVICE/JOB TITLE
REFERENCES: List 3 people, other than relatives, who have known you for at least 3 years.
NAMES
Addresses 
Phone Numbers 
LIST PREVIOUS CHURCH WORK (as a volunteer or staff person) involving youth.
Church
Ministry Area
Approximate Dates
I agree to observe Grace procedures regarding volunteering with youth and I hereby authorize Grace Lutheran Church to verify the information contained in this application.
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Virtual Signature 
Submit
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