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Epworth Children's Home
Volunteer Application Form
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Suffix
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Mr.
Mrs.
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First Name
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Middle Initial
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Last Name
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Please Check One
New Volunteer
Returning Volunteer
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Employer/School
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Job Title/Manager
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Street Address/Mailing Address
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City
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State
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Zip Code
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Permanent Address if different from Current Address
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Cell Phone Number
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Home Phone Number
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Email Address
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Date of Birth
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Emergency Contact Person (Name and Phone Number)
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Do you own a car - All volunteer mentors provide transportation for their assigned mentee. For group events, Epworth will provide transportation.
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If yes, give tag number
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If Yes, please share the vehicle tag number
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Volunteer Intrest
Building or Cottage Care Taker
Cottage Partner Group (small group of 5 or more adults 21 years of age and older)
Landscaping/Maintenance/Construction
Mentor ( minimum 21 years of age)
One Time Activity/Party- host a cook out or provide for a special event such as prom or graduation
Faith Formation Volunteer- Sunday School Teachers, Bible Study, Worship/Music
Host Eagle Scout Project with Epworth- meet with Epworth staff to determine project options
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