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Volunteer

Volunteer Application

I'd love to help!

Please fill out and submit the on-line form below or contact Cheryl Smith at (330) 497-6145 to begin your rewarding experience at St. Luke Lutheran Community!

Date *REQUIRED*
Last Name *REQUIRED*
First Name *REQUIRED*
Address *REQUIRED*
City *REQUIRED*
State *REQUIRED*
Zip *REQUIRED*
Home Telephone *REQUIRED*
Cell phone
Email
Preferred Response *REQUIRED*
Emergency Contact *REQUIRED*
Emergency Phone *REQUIRED*
Education (If currently enrolled, please state grade.)
Highest Education Completed
Elementary *REQUIRED*
High School *REQUIRED*
College
Degree
Foreign Language Training
Read
Speak
Work Experience
Employer (Name, Address, and Telephone)
From
To
Position
Duties/Responsibilities
Volunteer Experience
Organization
Address
City
State
Zip
From
To
Duties/Responsibilities
Other
Professional, trade or civic activities or offices held
( You may want to exclude membership which would reveal gender, sex, religion, origin, age, ancestry, disablity or other protected status.)
Describe any specialized training, apprenticeship, skills, and extra-curricular activities
I want to become a volunteer at St. Luke Lutheran Community because *REQUIRED*
Volunteer Scheduling Preferences
Volunteer Interests *REQUIRED*
I prefer routinely scheduled hours *REQUIRED*
I prefer to be to be scheduled for special events only *REQUIRED*
Hours available *REQUIRED*
Days available *REQUIRED*
Physical limitations *REQUIRED*
(St. Luke Lutheran Community does not discriminate based upon limitations.)
Volunteer Signature
(Only required if printed out and mailed in.)
Parent/Guardian Signature for those under the age of 18.

The community service for which my child has volunteered meets with my approval. I release St. Luke Lutheran Community from any liability in connection with his/her duties.

Parent/Guardian Signature
(Only required if printed out and mailed in.)
References (Please list name and address for each)
1 *REQUIRED*
2 *REQUIRED*