Full Name*
Date*
I prefer to be called
Birthday*
Spouse
I prefer to communicate via*CallTextEmail
Your Phone*
Your Email*
How did you learn about us?*
Related experience you'd like to share
Is there a specific area/topic that interests you?
Hobbies
A favorite Bible verse of mine is
Favorite snack/sweet
How often would you like to volunteerWeeklyMonthlyFew times a year
Anything else you'd like to share about your availability
Church Home Name
City of Church
How long have you been there?
In addition to your pastor, please list one reference we may contact. (No family members please!) Pastor's Name*
Pastor's Phone*
Pastor's Church Name*
Personal Reference's Name*
Relationship to Reference*
Reference's Phone*
Reference's Email
Volunteer Requirement: Be in agreement with the mission and purpose of CLR and believe in the sanctity of human life as taught in the Bible.
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