JR Pitch Volunteer Form
Volunteers for JR Pitch must be at least 16 years of age. Please complete all areas of this application.
Name Male Female
Address
City Prov. Postal Code
E-mail Date of Birth (day / mo./ yr)
Phone
T-Shirt Size Small Medium Large XL XXL
Marital Status
Single
Married
Separated
Divorced
Remarried
Widower
Name of Spouse
Church you attend
Occupation Employer
Hobbies, Skills, or Interests
Area(s) in which you are interested in serving
It is necessary to ask the following question as part of our application process. The information is kept confidential. If any of the following conditions apply to you they may not necessarily preclude you from involvement in our ministry. You will have an opportunity to discuss circumstances with the Volunteer Staff Director.
Do any of the following circumstances apply to you: Yes No
  • Have been convicted of a criminal offense involving children.
  • Have been convicted of a sexually related crime.
  • Have been convicted of an abuse related crime.
  • Have been hospitalized or treated for alcohol or substance abuse.
  • Have any communicable disease.
  • In treatment for any form of mental illness.
Do you have any physical conditions that would prevent you from performing certain types of activities? If so, please explain:
Can you provide your own accommodation? Yes No
REFERENCES

Please provide the names of three individuals, excluding relatives, who could provide a reference for you. If possible, please include at least one reference from inside your church.
Name of Reference 1 Phone Number Relationship To You
Name of Reference 2 Phone Number Relationship To You
Name of Reference 3 Phone Number Relationship To You
By submitting this form, you acknowledge that the information contained in this application for ministry is correct to the best of your knowledge.  You authorize any references or churches listed in this application to give any information they may have regarding your character and fitness for ministry to youth, and you release such references from liability for any damage that may result from furnishing such evaluation to Evangelical Missionary Youth.