Manna House Ministries Volunteer Application Contact InformationName(Required) First Last Address(Required) 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 Phone(Required)Best number to reach you.Date of BirthMonth (MM)Day (DD)Year (YYYY)Email(Required) Enter Email Confirm Email Preferred Method of Contact(Required)PhoneTextEmailMailEmergency Contact Name, Phone, and Relationship to YouVolunteer Placement Preferences – Select one or moreSpecific Area Outside Receiving Sorting Donations Pricing Merchandising & Hanging Display Set-up & Stocking Cashier or Bagging Assistance Donations Pick-up & Delivery Reception/Office/Counseling Food Pantry Grocery Pick-up Building Maintenance/Repairs Custodial Public Relations or Fund Raisers Computer/IT Repair Fork Lift Operator Board Representative Other Work Schedule – Select one or moreFood Drive Preparation and Distribution Tuesday 8 am to 11 am (sorting and packing) Wednesday 8 am to 11 am (food distribution) Select AllDays for Normal Volunteer Days(Required) Monday Tuesday Wednesday Thursday Select AllFrequency Each Week Every Other Week Once Per Month Other Additional Information for Assist with PlacementChurch & Pastor's Name or Organization Affiliation (If applicable) Are you an active member by attending and supporting the stated church or organization? Yes No Please provide a brief testimony or reason of why you would like to volunteer at Manna House Ministries.(Required)Education Highest Level CompletedPlace of Employment (if retired, list past employment) Skills, Talents, & Experience that may be useful to Manna House MinistriesPlease list hobbies or pastimes so that we may get to know you better.Volunteer ExperienceDo you have any medical condition (such as allergies or medication needs) and/or physical, mental, or psychiatric disabilities that should be considered when placing you?(Required) Yes No If yes, please explainAre you currently under any restrictions resulting from a conviction of a criminal offense which should be considered when placing you?(Required) Yes No If yes, please explainReferencesReferences(Required)NamePhoneRelationship to You Add RemoveSupply 2 referencesComments/Additional InformationComments/Additional InformationCommitmentCommitment Policy(Required) I agree to the Commitment PolicyAs a volunteer, I commit to actions in keeping with those stated in the Manna House Ministries guidelines and to abide by the code of conduct. I hereby affirm that I have accurately completed this application. My answers to all the questions are true and correct and I have knowingly withheld any fact or circumstance that may, if disclosed, affect my application unfavorably. I understand that any false or incomplete information submitted in this application may result in my termination as a Manna House volunteer. I agree that my volunteer membership status and privileges will remain in effect as long as I continue to volunteer my services for the required four hours per month or 36 hours per year to show my interest in the objectives of the organization.Consent(Required) I agree to the Privacy Policy and Terms of Use 68378
