Leave this field empty
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: *   
Volunteer Zip/Postal Code *   
Volunteer E-Mail: *   
Volunteer Phone: *   
Volunteer Cell:   
Volunteer Birth Date:   
  Click here to bring up the calendar
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