Ministry Volunteer Application Name * First Name Last Name Date of Birth * MM DD YYYY Gender * Male Female Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Cell Phone (###) ### #### Email * Present Employment Job Title EMERGENCY CONTACT INFORMATION * First Name Last Name Relation Phone Name of High School Did you graduate? Yes No Name of college/business/trade school? Did you graduate? Yes No Have you been convicted of a crime in the last five years? * Yes No If yes, please explain: Have you ever been involved with drugs and/or alcohol abuse? * Yes No If yes, how long have you been drug/alcohol free? * How did you become familiar with Jubilee? In what area are you interested in? * Prison Aftercare Which Prison Are You Interested In? Bedford County Correctional Facility Blair County Prison Fayette County Jail Lackawanna County Prison Lebanon County Correctional Facility Luzerne County Correctional Facility Northumberland County Jail State Correctional Institution at Camp Hill State Correctional Institution at Coal Twp. State Correctional Institution at Muncy State Correctional Institution at Frackville State Correctional Institution at Mahanoy Other When Are You Available? * List dates/times you are available to volunteer Considering Jubilee’s mission of bringing people to Christ by ministering to their needs, are you able to share with another person what Jesus has done for you? Yes No List 3 References not related to you. Pastor Years Acquainted Phone Number Address Name of Church Name Years Acquainted Phone Number Address Name Years Acquainted Phone Number Address What skills, gifts, or experience would you be able to contribute? Describe your Spiritual journey. Describe who you are. By typing my name here, I certify that all statements provided in this application are true and complete. Any misrepresentation or omission may be grounds for rejection of the applicant. I authorize investigation of all statements. * Jubilee may take photographs and/or videos of volunteers for promotional material. By typing my name here I grant permission to Jubilee Ministries to use video, photographs, and audio recordings along with any verbal communication shared by or taken of me while volunteering for use in its videos, internal and public; publications such as historical writings; newsletters and brochures; to use the photographs on display boards in stores or ministry locations; and to use such videos, photographs, and audio recordings in electronic versions of the same publications, on Jubilee’s website, in social media posts and other electronic forms or media. I am 18 years of age or older and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the contents, meaning, and impact of this release. * Thank you for your application! We will be in touch with you.
