Name(Required) First Middle Last Ministry(Required) Badge # or Last Four Digits of SSN(Required)Volunteer Signature(Required)Date(Required) MM slash DD slash YYYY Phone(Required)Email(Required) ARE YOU CURRENTLY SERVING IN THIS DEPARTMENT?(Required) Yes No By signing this document, I am fully aware that I am not to serve in this area or any other ministry without being referred by the Volunteer Department. Once we research your file, and find that you do not have a current application on file. We will request that you fill out an application.HiddenVolunteer DepartmentHiddenReceived By HiddenDate Received HiddenApproval Response HiddenResponse Date HiddenProcessing Information and Action Taken