Dream Center Volunteer Application
DOB: (min age 18 years)
Employment Name and Type of Business
Employment Phone Number
Position currently held
High School: Name
High School: Degree
High School: Years Attended
College/Technical: Years Attended
Graduate/Other: Years Attended
Reference 1: Name
Reference 1: Phone
Reference 1: Email
Reference 1: Relationship
Reference 2: Name
Reference 2: Phone
Reference 2: Email
Reference 2: Relationship
A) What are your projected hours/days o avasilability for volunteering?
B) Are you interested in volunteering for any of these Connection Points?
Sunday Breakfast (7:00-9:00 AM)
Tuesday Dinner (5:00-9:00 PM)
Friday Showers (7:00-9:00 AM)
Background Info: A) Have you ever been convicted of a law violation(s) including moving traffic violations? (Exclude any offenses committed before your 18th birthday that were finally adjudicated in a juvenile court or under a youthful offender law.)
If yes, please provide specific information below: Conviction date(s)/Locations:
Offense(s) Convicted of:
B) Have you ever had a founded Child or Adult Protective Services compolaint?
If yes, Nature of Complaint and Founded Date(s):
C) Do you have a current, unrestricted Virginia Driver's License?
D) Do you have any health restrictions that the Dream Center should be aware of?
If yes, please describe:
E) How did you hear about this opportunity?
I understand that because of the nature of the work of the Dream Center and New Life Church, it will be necessary to make appropriate security and other checks on all new Dream Center volunteers. I understand that I may not be selected to do the type of work that I wish through no fault of my own, but because of agency requirements.