Printable Volunteer Application
Please mail or fax to: Ruth Harbor - 534 42nd St. - Des Moines, IA 50312 Fax: (515) 633-2157
    Volunteer interests (Please mark each of the items that interest you)
      Office Assistance
      		Special Events
      Mailings
      Data Entry
      Cleaning
      Making Phone Calls      		 Information Table At Conference or Event
      Church or Organization Contact
      Speaking Engagements
      Fundraising

      Resident Assistance
      Note: If volunteering for "Resident Assistance," some positions or activities require that you complete some basic training and/or authorize a background check..
      Transportation (Future Need)
      Mentoring
      Teaching Life Skills
      Family Encouragers

      Peer Counseling
      Testimonial presentation
      House-sitters

      Home Maintenance Provide Special Products or Services
      Indoor (handyman, spring cleaning, other)
      Outdoor*      		 Grant Writing
      Other

      *Individuals to participate on rotating teams for yard maintenance (mowing, flower garden, and snow-blowing). Equipment and tools provided.

      Spiritual Support
      Prayer for Ministry, Staff, Board and Residents

    Additional Information
    On another piece of paper please answer the following questions:

      1. Briefly describe your skills, spiritual gifts, talents, or personal interests.
      2. Please comment on any previous volunteer experience. Include the organization's name and position held or service provided.
      3. Any additional information about yourself relevant to selection(s) on page 1?


    About You

    Name:
    Birthday:
    Address:
    City, State, Zip:
    Phone:
    		 (home/work)
    Email Address:
    Place of Employment (Occupation):
       
    Church Attending:
    Pastor:
    City, State, Zip:

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