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Volunteer with Rescue Mission of Middle Georgia



Rescue Mission of Middle Georgia Application

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Your information


Required fields are marked with an asterisk (*)
First Name *
Middle Initial
Last Name *
Mobile Phone *

A full 10-digit phone number (for example: 555-123-1234, (555) 123-1234, 555.123.1234, etc)
secondary phone number
Street
Apartment/ Unit #
City
State
zip code
Date of Birth *

A valid date as MM/DD/YYYY (for example: 12/04/1989)
Age

A valid date as MM/DD/YYYY (for example: 12/04/1989)
Gender
Marital Status
Church
School
Highest Degree Obtained
Type of volunteer *
If you are volunteering as part of a group, what is the name of your group?
Do you have a history of addiction?
Have you ever been convicted of a felony or misdemeanor?


Please list any felony convictions
Are you a graduate from the Rescue Mission of Middle Georgia
How did your hear about the Rescue Mission of Middle Georgia?
Have you previously volunteered with the Rescue Mission of Middle Georgia?
Why would you like to volunteer with the Rescue Mission of Middle Georgia?
What is your church involvement?
What experience do you bring?
Notes
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Relationship
Emergency Contact phone number *
Emergency Contact phone number (secondary)

Waiver

Rescue Mission of Middle Georgia Volunteer Agreement
Volunteering at the Rescue Mission is a great responsibility and can be very rewarding. We are always in need of volunteers to help us accomplish our goals in helping others. The following agreement is made between the Rescue Mission of Middle Georgia and the volunteer.
I am responsible for and agree:
To respect the confidentiality of the clients and the business of the Rescue Mission of Middle Georgia. I will not give out any information concerning clients, or discuss or use clients’ names outside the Mission. Any questions concerning clients will be referred to staff.
To confine my assistance of clients to my regular designated volunteer hours.
To let the Volunteer Coordinator know of any changes in my volunteer status.
I understand that I may be removed from my volunteer position subject to the Mission’s rules and procedures.
I certify that I am in good health and free from any contagious/infectious diseases.
I understand that I am volunteering to help the Rescue Mission of Middle Georgia at no cost to the Mission and I will not be compensated for either my time or my services. You may, however, be eligible for certain tax deductions related to your volunteer time and/or out of pocket expenses. Please seek advice from your tax advisor for more information.
The Rescue Mission of Middle Georgia has my permission to: Run a background check on me:

I affirm that I have answered all questions truthfully. I understand that if any portion of this application is found to be intentionally false, I may be denied the right to volunteer for The Rescue Mission of Middle Georgia.