Volunteer Application | Rising Star Outreach

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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: *

If you are under 18, please list a parent or guardian that will be attending the session with you below.

Parent or Guardian:

Mandatory field if you are under 18.

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.

Other Session:

How did you learn about Rising Star Outreach?: *

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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Rising Star Outreach is a 501©(3) registered non-profit charity. © 2011 Rising Star Outreach. All rights reserved. Click here for our Current US 990 Tax Form