Volunteer Form

3 Mile Project Volunteer Form

Please complete the form below:

First Name	*
Middle Name
Last Name	*
Date of Birth (mm/dd/yyyy)	*
Address	*
City	*
State	*
Zip / Postal	*
Phone Number	*
Cell Phone Number
Email Address	*

Gender	*
Have you ever been convicted of or pled guilty to a crime?	*	Yes No
If Yes, what charge, date, and location?
Are you a student?	*	Yes No
If Yes, where?
If you are a student, what is your graduation year?
ALL HIGH SCHOOL STUDENTS PLEASE NOTE: A letter of reference from a former or current teacher supporting your application must be emailed to team@3mp.org by the teacher in order for your application to be considered.
Are you employed?	*	Yes No
If Yes, where?

Reference 1 Name	*
Reference 1 Relationship	*
Reference 1 Phone Number	*
Reference 2 Name	*
Reference 2 Relationship	*
Reference 2 Phone Number	*
Reference 3 Name	*
Reference 3 Relationship	*
Reference 3 Phone Number	*

Do you regularly attend worship services	*	Yes No
If Yes, where?
Do you know anyone currently volunteering for us?	*	Yes No
If Yes, who?
Briefly explain why you want to volunteer at the Three Mile Project.	*
Are you a youth pastor, youth director, or church youth volunteer?	*	Yes No
If Yes, where?

It is the policy of the Three Mile Project to perform criminal history background checks on all persons applying for volunteer positions. By clicking the 'submit' button below you are authorizing the Three Mile Project to seek information which pertains to any record or convictions contained in law enforcement agency files whether local, state, or national. Your clicking of the submit button also releases the Three Mile Project and any cooperating law enforcement agency from any and all liability resulting from such search and disclosure. Do you understand this?	*	Yes No

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