Volunteer Application

---

Volunteer Application I WANT TO SERVE IN MINISTRY: Please complete and return this form to the church offices or to the ministry you are interested in serving. One of our ministry teams will be in touch soon to help you find the right place to use your God given gifts and talents to serve one another.

PERSONAL INFORMATION: Name: _____________________________________________________ Date: _____/_____/_____ Street Address: ___________________________________________________________________ City: ____________________________________ State: ______________ Zip: ________________ Cell Phone: ____________________________ Daytime Phone: _____________________________ Email: ____________________________________ Birthdate: _____/_____/_____ Best way(s) to contact you:  Cell  Home  E-mail Can we text message you?  Yes  No Best time(s) to contact you:  Day  Evening after _________ PM

MINISTRY INTEREST(S) AND APPLICATION STEPS: TIER I - Complete: Volunteer Application, Spiritual Gifts Survey @ https://harvestdavenport.org/volunteer-opportunities/, and interview

 Welcome Team  Usher  Hospitality  Parking  Worship Team  Production/Tech Team  Outreach  Deaf Ministry  <18 Volunteer  Other (office, special events, facilities) TIER II - Complete: Volunteer Application, Spiritual Gifts Survey @ https://harvestdavenport.org/volunteer-opportunities/, Background Check Form, and interview

 Security Team  Drivers  Harvest Kids Registration/Worship/Tech  Harvest Kids Nursery/Lower Pre-K  Harvest Students Tech/Registration  Medical Team TIER III - Become a member of HBC-D and complete: Volunteer Application, Spiritual Gifts Survey @ https://harvestdavenport.org/volunteer-opportunities/, Volunteer Character References Form, and interview

 Harvest Men Leader  Harvest Women Leader  Small Group Leader  Biblical Soul Care Advocate  Compassion Assistance Team TIER IV - Become a member of HBC-D and complete: Volunteer Application, Spiritual Gifts Survey @ https://harvestdavenport.org/volunteer-opportunities/, Volunteer Character References Form, Background Check Form, and interview

 Harvest Kids Small/Large Group Leader  Harvest Bridge Leader  Harvest Students Jr. High Leader  Harvest Students High School Leader  Biblical Soul Care Provider  Alive & Free

[11/15/2018]

CHURCH ACTIVITY: Are you a member of HBC-D?  Yes  No

If no, are you in the process of membership:  Yes  No

Service I regularly attend:  Saturday  9:00am  11:00am I have been regularly attending HBC-D  <6 months

 >6 months

List other churches you have attended over the past five years: Church Name: ________________________________________ Years attended: __________________ Contact Person: _______________________________________ Phone number: __________________ Church Name: ________________________________________ Years attended: __________________ Contact Person: _______________________________________ Phone number: __________________

Any other information you would like us to know:

I hereby authorize Harvest Bible Chapel Davenport (HBC-D) to contact, obtain, and verify the accuracy of information contained in this volunteer application from all references. I also hereby release HBC-D, and its representatives, from liability for seeking, gathering, and using such information to make volunteer decisions and all other persons or organizations for providing such information. I waive my right that I may have to inspect any information provided about me by any person or organization identified by me in this application. I understand that any misrepresentation or material omission made by me on this volunteer application will be sufficient cause for cancellation of this application or immediate dismissal from my volunteer position, whenever it may be discovered. The information on this form is for use by the HBC-D staff. Information gained will not be divulged, transferred, sold or otherwise made available to persons or organizations outside HBC-D.

Volunteer signature: ___________________________________ Date: ___________________________ Office Use Only: Background check submitted  Yes  n/a Approved:  Yes Reference checks & form completed date _________________ Interview scheduled date _________________ PDLM interview completed date _________________ Entered into Elexio date _________________ Scanned to shared drive date _________________ [11/15/2018]

date __________________ by: _______________________________________ by: _______________________________________ by: _______________________________________ by: _______________________________________ by: _______________________________________