Volunteer Application Photographs or videos may be taken while you are here with us, don’t worry, we’ll let you know ahead of time. "*" indicates required fields Personal InformationName* First Last Preferred First Name*Email* Phone Number*Birthday*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Who should we contact in case of emergency?* First Last Phone*Which category fits you best?* High School Student College Student Community Member Which High School do you attend and what is your anticipated graduation date?*What is your major & expected graduation date?*Why are you interested in volunteering with us?* To complete school related hours To complete community service/court mandated hours To give back to the community Are you currently under charges for any offenses?* Yes No Are you currently on probation or parole?* Yes No Have you ever been convicted of a felony?* Yes No Please provide the details on your situation while being as thorough as possible.*What are you looking to gain from your volunteer experience?*Christian Help Volunteer Handbook* I have read and I agree to follow the policies and guidelines outlined in the Christian Help Volunteer Handbook.