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Volunteer Application

Tue, 02/24/2009 - 00:19 — admin

If you would like to volunteer with Rising Star Outreach, please fill out the following form. All required fields are marked with (*)

Contact Information

Name (as it appears on your Passport): *

Phone: *

Cell Phone: *

Email Address: *

Current Address: *

Permanent Address: *

Age: *

Gender: *

Marital Status: *

Partner:

If applying with a partner, please indicate their name here.

Volunteer Session Availability & Work Experience

If you are flexible in your choice of sessions please indicate your preferences 1–3.

1st Session Preference: *

Session 1: May 24-June 11 - Regular session

Session 2: June 14-June 19 - Short Session

Session 3: June 21-July 5 - Regular Session

Session 4: July 12-July 30 - Regular Session

Session 5: August 2-August 9 - Short Session

Session 6: August 11-August 27 - Regular Session

2nd Session Preference: *

Session 1: May 24-June 11 - Regular session

Session 2: June 14-June 19 - Short Session

Session 3: June 21-July 5 - Regular Session

Session 4: July 12-July 30 - Regular Session

Session 5: August 2-August 9 - Short Session

Session 6: August 11-August 27 - Regular Session

3rd Session Preference: *

Session 1: May 24-June 11 - Regular session

Session 2: June 14-June 19 - Short Session

Session 3: June 21-July 5 - Regular Session

Session 4: July 12-July 30 - Regular Session

Session 5: August 2-August 9 - Short Session

Session 6: August 11-August 27 - Regular Session

How did you learn about RSO?: *

Please briefly describe your past employment and/or volunteer experience: *

Please tell us about your educational background: *

Skills, Talents & Gifts: *

Health & Background Information

Have you ever had any major illness, accident, or operation?: *

If you answered "yes" to this question, please give brief details including dates, treatment, outcome, and follow-up.

Are you taking any medication, including inhaled asthma medication?: *

If you answered "yes" to this question, please give brief details including dates, treatment, outcome, and follow-up.

Have you ever suffered from any psychiatric or psychological problem, including anxiety or depression?: *

If you answered "yes" to this question, please give brief details including dates, treatment, outcome, and follow-up.

Have you ever been convicted of a crime?: *

If you answered "yes" to this question, please give brief details including dates, treatment, outcome, and follow-up.

Please list any allergies: *

List all pertinent insurance information: *

Emergency Contact Information: *

Travel Experience (especially in ASIA): *

References

We highly recommend that one of the references be an ecclesiastical leader.

Reference 1 Name: *

Reference 1 Address: *

Reference 1 Email Address: *

Reference 1 Phone: *

Reference 2 Name: *

Reference 2 Address: *

Reference 2 Email Address: *

Reference 2 Phone: *

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