Date(Required) MM slash DD slash YYYY Name(Required) First Middle Last Ministry Leader(Required) Position(Required) Date(Required) MM slash DD slash YYYY Department(Required) Dept. Head(Required) Volunteer Signature(Required)Badge Number or Last Four Digits of SSN(Required) MINISTRY LEADER'S EVALUATIONHiddenQualitySelectOutstandingSatisfactoryUnsatisfactoryHiddenTeam WorkSelectOutstandingSatisfactoryUnsatisfactoryHiddenConductSelectOutstandingSatisfactoryUnsatisfactoryHiddenAttendanceSelectOutstandingSatisfactoryUnsatisfactoryHiddenWould you re-staff as a Volunteer? Yes No HiddenRemarksHiddenSignedHiddenDate MM slash DD slash YYYY HiddenVolunteer DepartmentHiddenReceived By HiddenDate Received HiddenApproval Response HiddenResponse Date HiddenProcessing Information and Action Taken
