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KINGSWAY CHARITIES INC. INTERNATIONAL
1119 Commonwealth Ave. Bristol VA. 24201
Toll Free Phone: 800-321-9234 Phone: 276-466-3014
NEW VOLUNTEER APPLICATION FORM
PLEASE COMPLETE ALL REQUIRED INFORMATION (
*
):
Volunteer Name:
*
First:
Last:
Volunteer's Spouse Name:
First:
Last:
Volunteer Address 1:
*
Volunteer Address 2:
Volunteer City:
*
Volunteer State:
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Dist of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Volunteer Zip/Postal Code
*
Volunteer E-Mail:
*
Volunteer Phone:
*
Volunteer Cell:
Volunteer Birth Date:
Please include t-shirt size:
Where do you attend church?
If you have any health restrictions, please list?
Have you ever been convicted of a misdemeanor
or felony for substance abuse?
Yes
No
Have you ever done volunteer work?
Yes
No
What kind?
The choices of volunteer work available are:
Sort Donations
Intake
Pick/Pack Orders
Pallet Jack
Fork Lift
Computer Entry
Other skills and interests:
What days would be most convenient for you?
*
Monday
Tuesday
Wenesday
Thursday
Friday
What times would be most convenient for you?
*
Morning
Afternoon
Are you available on short notice?
Yes
No
Person to contact in case of emergency:
*
Additional information, work experience
if you want to use it, etc:
Please check the information you entered and make sure everything is correct. Click Submit just one time when you are finished and wait for the confirmation screen to load. Thanks.
Any Questions or Issues Contact Us at the Address/Phone Below
Kingsway Charities, Inc
International Medical Missions
1119 Commonwealth Ave.
Bristol, Va 24201
(800)321-9234 (276)466-3014