|
VOLUNTEER APPLICATION FORM Name:__________________________ Address:_______________________ City:______________Prov._______ PC___________Phone:__________ Age:__________ Sex: []F []M Occupation:____________________ Religion: ( )Protestant ( )R.C. Other:_________________________ Please indicate your area of interest: [] In-prison fellowship/Bible study [] One-to-One Program (Ontario) [] Literacy Tutoring [] Pen pal correspondence [] Pre-Release program [] Women's program [] Family Ministry [] Distribute [] Intercessory prayer Why do you want to become involved in this ministry? _____________________________________ _____________________________________ _____________________________________ Please supply three references PF may contact, including your pastor/priest: (1) Pastor's name____________________ Church name/denomination: _____________________________________ Address:_____________________________ City:______________Prov._______PC_____ Phone number(___)___________ |
(2)Name_____________________________
Address:_____________________________
City:______________Prov._______PC_____ Phone number(___)__________ (3)Name_____________________________ Address:_____________________________ City:______________Prov._______PC_____ Phone number(___)_________ Highest level of education_______________ Describe any skills, talents, interests you could bring to the program: __________________________________________ __________________________________________ ___________________________________________ PF requires that you commit a minimum of one year, one to two hours per week, to tutor student(s). Are you prepared to make this commitment? []Y []N All volunteer applicants please complete and sign: Have you ever been convicted of a criminal offense? []Y []N Are there at present any outstanding charges against you before the courts? []Y []N I give Prison Fellowship Canada permission to conduct a security screening with the Canadian Police Information Centre (CIPC) to verify the information I have provided. ___________________________________________ Signature Date:______________________________________ |