Volunteer Application Form @ Welcome Home Kids.org

WELCOME HOME KIDS CENTRE Contact Information:

PO Box SS, Pine Mountain Club, CA 93222-0041
Phone: 661-242-1175 Fax: 661-242-2047
A Non-Profit Charity of the A.I.O.O.C.

POSITION DESIRED
FULL NAME
ADDRESS
CITY
STATE
ZIP CODE
PHONE NUMBER
CELL PHONE
PAGER
EMAIL ADDRESS

DRIVERS LIC.#
STATE OF DRIVERS LIC.
SOCIAL SECURITY #
DATE OF BIRTH
PROFESSIONAL TRADE

CURRENT EMPLOYER
ADDRESS
PHONE
SUPERVISOR
START & END DATE
POSITION

List 5 Personal and Professional References below - Include Name, Address, Phone, and Relationship.

Please cut and paste your Resume in box below (plain text only, no formatting.)

Limitations or Special Needs
Felonies, Convitions, Dates & Disposition
Membership in Professional Organizations

List and skills or talents you would like to share with Welcome Home Kids Centre.

Write a paragraph in box below of why you feel called to work with Welcome Home Kids Centre.

What expectations does God have of you at Welcome Home Kids Centre as well as what expectations do you have of us?


List what committees, groups, or functions you would like to join - Fund Raiser, Cookbook, Other:
List what classes you would like to attend - Wellness, Grief Recovery, CPR, HIV/AIDS, Other:

What are the best times to reach you?

HOME

WORK

Person to contact in case of emergency:
FULL NAME
PHONE
ADDRESS
RELATIONSHIP

HOBBIES

You will be required to submit to fingerprinting and FBI Background Check. The State of California Licensing Board Requires These Steps.

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