JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Impact Volunteer Info Request
Hello! We are so excited that you are interested in volunteering with Impact Youth at Encounter Church! If you fill out the form below, Emma will get in touch with you via email to discuss next steps!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name? (First and Last)
*
Your answer
What is your email?
*
Your answer
About how long have you been attending Encounter?
*
Your answer
I am interested in serving with
*
Junior High
Senior High
I'm not sure yet
Wherever I'm needed!
Do you have the PA
State Police Criminal Record Check?
*
Yes
No
Do you have the PA Child Abuse History Clearance?
*
Yes
No
Have you lived in PA for the past 10 consecutive years?
*
Yes
No
If you answered no to the last question, do you have the FBI Criminal Background Check? (disregard if yes to the last question)
Yes
No
Clear selection
Do you have any questions or comments?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report