Volunteer Immersion Application

First Name *

Last Name *

Please complete the entire application so that we may be thorough with our background checks.

Email *

Street Address *

City *

State *

Zip / Post Code *

Country *

Home Phone *

Mobile Phone *

Date of Birth *

How did you hear about Hope Shines? *

Have you ever been convicted of a crime? *

If you selected YES and have been convicted of a crime, please explain below: *

Tell us about your interests and hobbies. Select as many as apply! *

Art/Painting/Drawing/Crafts
Dancing
Music/Singing/Playing an instrument (specify which one(s) below)
Photography
Sports (specify below)
Travel
Reading
Camping/Outdoors/Hiking
Other (specify below)

Please provide additional information, as requested, for the interests and hobbies checked above: *

Places you have traveled? Please check all that apply. *

United States
Canada
North America
Central America
South America
United Kingdom
Europe
Asia
Africa
Middle East
Australia
Oceania
Caribbean
Antarctica

Please specify the countries below: *

Tell us about your personality!

I am a follower. I am a leader. *

You find it easy to introduce yourself to new people. *

You often feel as if you have to justify yourself to other people. *

You do not mind being the center of attention *

You often get so lost in thoughts that you ignore or forget your surroundings. *

Volunteering and Hope Shines!

Summarize your previous volunteer experience and describe how it will help your work with Hope Shines. *

Please tell us why you want to volunteer with Hope Shines. *

Please indicate if you will be able to volunteer for the ENTIRE immersion: Dates 21 Jun - 1 Jul 2019 *

Yes
No

Electronic Signature *

By submitting this application, I affirm that the facts set forth on it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Electronic Signature Agreement: By selecting the "Submit" button below, you are signing this Application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Application.

Volunteer Immersion Application

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