Volunteer Application Form

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This form is to be completed by an applicant for any volunteer position within the Church of God At Paradise Valley involving the supervision or custody of minors or those with developmental disabilities any paid staff member, regardless of his/her job responsibilities. It is being used to help church leaders provide a secure environment for those children, youth and developmentally disabled persons who participate in our programs and use our facilities.

(Information received is kept strictly confidential)

Email *

Personal Information

Name (First, Middle & Last) *

Address *

Phone # *

Date of Birth *

Gender *

Male

Female

Marital Status *

Married

Single

Seperated

Divorced

Engaged

Remarried

Widow/widower

Spouse's name *

Occupation and/or employer *

Hobbies, interests or skills *

Do you have First aid training? If so what date does it expire? *

I have watched the required training videos or read the manual to complete the mandatory training *

Yes

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