VOLUNTEER APPLICATION
Milwaukee Rescue Mission
Joy House       

(Do not press enter until you have completed the application. All * fields are required.)                                                          
NAME*                               (first)        (m.i.)                     (last)                
                                      
                                                   
MAIDEN/PRIOR NAME(S)                  DATE OF BIRTH             SEX
               
                         
ADDRESS*                      (street)                           
(city)                                                                                           (state)          (zip)
        
       
HOME PHONE*                               MOBILE PHONE           E-MAIL*
          

EMERGENCY CONTACT NAME                                     PHONE
                        
 
CURRENT EMPLOYER OR SCHOOL                                       WORK PHONE
          
 
WORK ADDRESS                  (street)

(city)                                                                                          (state)           (zip)
        
                                               
POSITION HELD                                                                      HOW LONG? 
   
 
YOUR CHURCH 
 

ARE YOU A MEMBER THERE?   Yes    No
 
CHURCH  ADDRESS                                 (street)              

City                                                                               State         Zip
     

CHURCH PHONE                                                PASTOR'S NAME 
           

Number of school years completed         Degree (if attained)
                                             

Select the programs you would like to help with: 
              Nursery during NewLife program (M-F 9 AM-4 PM)
              Children's Bible Study (M & W 7-8:15 PM)
              Tutoring (T & TH 5-7PM)
              AfterSchool/ Homework Program (M-F 3-4:15 PM)
              Nursery during Women's Bible Study (M & W, 7-8:15; TH 5-6PM)
             Clothing Room (Daytime Hours M-F)

How often would you like to volunteer at Joy House? 
              Once a week
              Every other week
              Once a month
              Other- explain 
              

How do you plan to participate? 
             With my Church Group or Service Organization
             Self or with a friend
             Other- explain
            

By submitting this application, you are committing to:
              6 months or 1 semester
              12 months or 1 year
              Until further notice

Do you speak a foreign language fluently?   
If yes, please specify. 

Please list any previous volunteer experience:

Please list any areas in which you have special interests or skills. 
 

Have you had any experience working with women/children? 
If so, please explain. 


What would you like to gain from being a volunteer? 

 
How did you hear about Joy House?
 

Describe your health. (List any allergies or physical limitations) 


In case of emergency, please notify:  (name)


Relationship                                                                      Phone Number
                          

Will you be fulfilling court-ordered community service through this volunteer opportunity?
  Yes  
  No  
Have you ever been convicted of a felony?
  Yes   
  No  
Have you ever been accused of child neglect or abuse?
  Yes   
  No   
Do you use illegal drugs?
  Yes   
  No   
Is there any circumstance or situation that we should be aware of regarding your ability to be trusted with children or young people?
  Yes   
  No   

If you have answered YES to any of the four previous questions, please provide an explanation.

The Milwaukee Rescue Mission reserves the right to run a background check on each and every volunteer applicant.

REFERENCES: Please supply the names of two persons who may be contacted for references. One should be your pastor/minister or your present work supervisor if possible. Neither should be your relative or intimate friend.
 

REFERENCE NAME                                                                           RELATIONSHIP 
             
ADDRESS                                                (street)              

(city)                                                                              (state)      (zip)                  
                                
HOME PHONE                                           EMAIL
      
      
    
REFERENCE NAME                                                                           RELATIONSHIP 
             
ADDRESS                                                (street)              

(city)                                                                              (state)      (zip)                         
   
HOME PHONE                                           EMAIL
      



      


By checking this box, I grant the Milwaukee Rescue Mission permission to contact my references, above, and perform any other reasonable background check related to my interest in volunteering at the mission. 
 
SIGNATURE BOX           (type in name)
         
 
 
 
 
 
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