Volunteer Application 1 Applicant Information 2 General Information3 Areas of Interest4 Hobbies/Skills 5 Availability Name* First Last Phone*Email* Birthday* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact Name*Emergency Contact Phone* Are you Part of a Group?*Please Choose Option BelowYesNoIf yes, what is your groups name?*What facility would you like to volunteer?*Please Choose Option BelowAnchorBaysideBloomsburgBluegrassBluftonBordeauxBowling GreenBracken CoBremenBrookwood GardensBuckheadCarrolltonChapel HillChautauquaChesapeake ShoresChillicotheClevelandClinton CountyCollege ParkColonialColumbiaCoshoctonCourtyardDanvilleEast LouisvilleElizabethtonElizabethtownErinFayetteFentressFort WayneFountain CircleGainesvilleGalionGastoniaGeorgetownGlasgowGolfcrestGolfviewGreenevilleGulfportHarrimanHarrodsburgHart CountyHartfordHeritage HallHeritage ParkHermitageHillcrestJackson ManorJacksonvilleJefferson ManorJefferson PlaceKenilworthKinstonLafayetteLee CountyLibertyMadisonMallard Bay/ Harbour PointeMariettaMayfair ManorMcCreary CoMemphisMethodistMonroe CountyMonteagleMorgantownMorgantownMuncieNewburghNorfolkNorth FloridaNorth HardinOakviewOrange ParkOrmondPalm BeachParkwoodPeninsulaPickettPigeon ForgePikevillePinellas ParkPort CharlottePortlandPrestonburgPrimacyPutnam CoRidgelyRiversideRiverviewRoanokeRockcastleRockfordRockwoodRogersvilleRogersvilleSavannahSouth BendSouth LouisvilleSouth PittsburgSouthern PinesSpencer CoSpencer CountySpring CitySt. FrancisSt. Mary & ElizabethSt. Peter VillaStanding StoneSummerfieldSummit ManorSunrise ManorSurrey PlaceTanbarkTerre HauteTower RoadTrimbleWarrenWashingtonWaterfordWestmorelandWhitesburg GardensWinter ParkAre you Part of James 1:27?*Please Choose Option BelowYesNoWould you like a tour of our building and introductions to our staff?*Please Choose Option BelowYesNo What is your area of interest? One-on-One Resident Interaction Assist with Arts & Crafts Chaperone a Quality of Life Outing Lead Game Activities Letter Writing Assist with Birthday Parties Building Decoration Men and Women’s Groups Reading and Storytime Pet Visits Garden Club TimeSlips I Won't Grow Up Mail Delivery Nail Painting Painting Class Prayer Group Leadership Bible Study Leadership Music Leadership for Worship One to One Ministry Visits in Residents Room Card and Letter Writing Ministry Holiday and Special Event Ministry Teams Worship through Art Leadership Palliative Care/ Simple Pleasures Cart Ministry Internships in Chaplaincy Prayer Walking Pastoral Leadership for Church Services End of Life Volunteering List any hobbies that interest you.*List any skills/talents* Do you have transportation?* Yes No When can you start?* What Day/Days are you interested in volunteering?*MondayTuesdayWednesdayThursdayFridaySaturdaySundayWhat Time of Day is Best for you?* Morning (9-12) Afternoon (12-3) Late Afternoon (3-5) Evening (5-7) Night (After 7) If you prefer to fill this application out on paper, please click here!