MB Application Form

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I am applying for:

Volunteer Position

Specific Project

Project applying for:

Desired start date:

MM slash DD slash YYYY

Availability:

Day

Evening

Weekend

Personal Information

Name

First Last

Phone

Preferred Method of Communication

Text

Phone Call

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Birthday

Month

Day

Year

Nationality/Language(s)

Marital Status

Single

Married

Separated/Divorced

Widowed

Sex

Male

Female

Prefer not to say

Your Photo

Please upload a current photo of yourself

Accepted file types: jpg, jpeg, png, gif.

Emergency Information

In case of emergency, please contact:

Name

First Last

Relationship to you

Address

City State / Province / Region Country

Phone

Health Information

Do you have any physical impairments, handicaps, or health conditions that require special attention?

Yes

If yes, please explain:

Have you had a history of or do you currently have psychiatric/psychological diagnosis, treatments, medications or addictions?

Yes

If yes, please explain:

Please list any known food and drug allergies.

Do you have health insurance?

Yes

Please share any issues of concern YWAM KC/call2all should be aware of?

Interests & Skills

Please select all that apply

Accounting/Bookkeeping

Kitchen Services(Food Prep/Clean UP)

Coffee Shop

Maintenance & Repairs

General Administration/ Computer Skills

Marketing/ Social Media

Graphic Design/ Website

Mass Communications (Video, Photo, Audio)

Hospitality (Cleaning, Meeting Prep, Refreshments)

Translation/ Interpreters

For the record

Have you ever been indicted or convicted of any crimes of sexual offense, including but not limited to sexual abuse or indecent exposure?

yes

Have you ever been convicted, imprisoned, or placed on probation or parole?

yes

Church Background

Church Name

Pastor's Name

First Last

Church Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Year's Attended

Describe your involvement with your local church:

Consent(Required)

I agree to the following

I certify that any and all information which I have provided on this application is true and correct. I authorize YWAM KC and call2all to verify any and all information which I have provided on this Missions Bridge application.

I understand that this application is for a volunteer position and, if offered a position, I will not be an employee of YWAM KC or call2all. I understand and agree that my work as a volunteer will be at will.

I further understand and agree that this application is not a contract of employment or part of a contract of employment with the YWAM KC or call2all.

Signature

Please use your finger, stylus or mouse to sign in the field below.

Missions Bridge Application Form

Personal Information

Emergency Information

Health Information

Interests & Skills

For the record

Church Background