Application for Volunteer Service

Personal Information

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Home Phone(Required)

Cell Phone(Required)

Email(Required)

Emergency Contact

In case of an emergency, please contact:

Name(Required)

First Last

Relationship(Required)

Daytime Phone(Required)

Evening Phone(Required)

Cell Phone(Required)

Volunteer Experience

How did you hear about volunteer opportunities with CWJC?(Required)

Have you had previous volunteer experience or training?(Required)

Yes

Please tell us where, how long, and what you did:

Education Information

Highest education level completed(Required)

Middle School

High School/GED

Associate

Undergraduate

Graduate Degree(s)/Professional License(s)

Any specialized training?

Foreign Language Proficiency:

Use the (+) to the right to add additional records

Language

Please indicate if you read/write/speak

Areas of Interest

Please check the box beside all areas in which you are interested in volunteering(Required)

Teaching

Mentoring

Prayer Partner

Teacher Aid

Photography

Board

Food Set-up

Making Meals

IT Assistance

Graduation Set-up

Office Skills

Enrollment

Computer Lab

Data Entry

Summer Session

Where Needed Most

Skills & Abilities

Please list any special skills & abilities you possess that could be utilized to serve CWJC and students:

Availability

Please check all that apply(Required)

Weekday Mornings

Weekday Afternoons

Weekday Evenings

Anytime

Other

What do you hope to gain from volunteering with CWJC?(Required)

Will your volunteer work be a part of an educational requirement or community service requirement?(Required)

Yes

How many hours are you required to serve?

Required completion date?

MM slash DD slash YYYY

Background Information

Commission of a crime will not be an automatic bar to consideration for volunteer opportunities; however, applicants convicted of certain criminal offenses may be ineligible for volunteer opportunities under applicable Texas law.

Have you ever pled guilty to, been convicted of, or received probation, deferred adjudication or pretrial diversion for any criminal offense, other than minor traffic citations?(Required)

Yes

Please provide information on criminal offense, date, location, disposition:

Are you currently serving probation, deferred adjudication, or pretrial diversion for any criminal offense?(Required)

Yes

Please explain:

References

Please list at least two people who you have known for one year or longer and with whom you have had a close relationship so that they might be a character reference.

Reference 1

Relationship(Required)

Name(Required)

First Last

Phone(Required)

Best time to contact(Required)

Email(Required)

Reference 2

Relationship(Required)

Name(Required)

First Last

Phone(Required)

Best time to contact(Required)

Email(Required)

Name of Parent/Legal Guardian

First Last

Photo/Video Auth Release Consent

I hereby grant Christian Women’s Job Corps of Tyler, its legal representatives, agents, successors or assigns, permission to use my likeness in photographs, movie films, videotapes and/or sound records, or any part thereof in any and all of its publications, including website entries, without payment or any other consideration. I understand and agree that these materials will become the property of Christian Women’s Job Corps of Tyler and will not be returned. I hereby irrevocably authorize the Christian Women’s Job Corps of Tyler to edit, alter, copy, exhibit, publish or distribute the photographs, movie films, videotapes and/or sound records, for purposes of publicizing the Christian Women’s Job Corps of Tyler programs or for any other lawful purpose. In addition, I waive the right to inspect or approve the finished product, including written or electronic copy, wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photograph. I hereby hold harmless and release and forever discharge Christian Women’s Job Corps of Tyler legal representatives, agents, successors or assigns, from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I am 18 years of age or older and am competent to contract in my own name. I have read this release before signing below and I fully understand the contents, meaning, and impact of this release.

Do you consent to the photo/video consent policy?

Yes

Volunteer Covenant

Purpose Statement
The purpose of CWJC is to provide a Christian context in which women in need are equipped for life and employment, and a mission context in which women help women.

Statement of Faith
We believe in the Trinity, God as Father, Son and Holy Spirit, and the Bible as the Word of God. Salvation comes through grace by believing in Jesus Christ as the only begotten Son of God, our Savior and Lord. Once saved, the Holy Spirit indwells, thereby instructing, guiding, and empowering the individual to follow the mandate of Jesus Christ in daily living.

Church Membership

What kind of church/community activities do you attend?

Have you accepted Jesus Christ as your personal Lord and Savior?(Required)

Yes

Not Sure

By signing below, I agree to serve as a volunteer for this CWJC site. I understand I will listen to the students plans, hopes and dreams. I will walk with them through each phase of development as they strive toward their goals of graduating. I will pray for and with them.

I commit to this relationship and to the other responsibilities of serving as a CWJC volunteer.

I am responsible for knowing the resources available in my community and to network with those resources. I will intentionally develop relationships that will result in additional resources for my participant.

While serving as a volunteer with CWJC, I will devote time to my own emotional, social, spiritual and physical health so that I do not become less, while I am helping another to achieve more.

I will stay in touch with CWJC through scheduled meetings, ongoing training, telephone and/or email, and will continue to grow in skills through personal study.

The CWJC Statement of Faith

We believe in the Trinity, God as Father, Son and Holy Spirit, and the Bible as the Word of God. Salvation comes through grace by believing in Jesus Christ as the only begotten Son of God, our Savior and Lord. Once saved, the Holy Spirit indwells, thereby instructing, guiding and empowering the individual to follow the mandate of Jesus Christ in daily living.

I agree to the statement of faith

Would you like to become a Journey Partner?

Yes

Journey Partner

Please complete this section only if you are interested in becoming a Journey Partner mentor.

Tell us about yourself – your biography, how God has worked in your life, etc.

Tell us what your life is like now – family, children, career, etc.

Please do not include professional accomplishments.

Why do you want to be a Journey Partner?

Wrap Up

Volunteer Applicant Verification(Required)

I understand that false, misleading, incomplete or omitted information will result in rejection of my application or termination of my volunteer placement. I authorize CWJC and its agents to confirm all information on this application, to contact individuals to obtain references and to investigate my suitability for volunteer opportunities. I agree to provide additional information as requested by CWJC or its agents. I understand that if selected to act as a volunteer, I will be required to follow the policies and rules of CWJC and that infractions of such rules may lead to the termination of my volunteer relationship. I understand that this Volunteer Application is not an application of employment. I also give my permission for CWJC to conduct a background check on me.

I certify that all information on this application submitted to CWJC is true, correct, and complete.

Applicant Signature(Required)

Are you under the age of 18?

Yes

Parent/Guardian Signature(Required)

Name

This field is for validation purposes and should be left unchanged.