Summer Volunteer Application Form

Thanks for your interest in volunteering in the Episcopal Diocese of Alaska. We ask all volunteers to complete this application to match their interests and skills with the needs of the Diocese before we make a placement. Once we have chosen an appropriate setting for your services, you will be asked to comply with our Safe Church Program. If you have any questions please email The Ven. Anna Frank.

General Information

First Name:

Middle Name:

Last Name:

Congregation/Position:

Date of Birth:

Male:

Female:

Home Phone:

Work Phone:

FAX

E-mail

Address:

City:

State:

Zip

Dates of Proposed visit/service: From

To

Vehicle/s:

Do you have a specific area in mind for your trip/service? If yes, where?

What skills and interests do you want to share?

Have you ever traveled/volunteered in Alaska before? When and where?

Some of our churches/facilities have no indoor plumbing. Would this be a problem for you? Yes No

If you are traveling as part of a group, how many are in your party?
(Please provide Proof of Event Insurance for Groups.)

Please list names and ages of everyone in your group:

Who or what inspired you to volunteer your services at this time?

First Name:
Middle Name:
Last Name:
Congregation/Position:
Date of Birth:
Male:
Female:
Home Phone:
Work Phone:
FAX
E-mail
Address:
City:
State:
Zip
Dates of Proposed visit/service: From
To
Vehicle/s:
Do you have a specific area in mind for your trip/service? If yes, where?
What skills and interests do you want to share?
Have you ever traveled/volunteered in Alaska before? When and where?
Some of our churches/facilities have no indoor plumbing. Would this be a problem for you?	Yes No
If you are traveling as part of a group, how many are in your party? (Please provide Proof of Event Insurance for Groups.)
Please list names and ages of everyone in your group:
Who or what inspired you to volunteer your services at this time?

Summer Volunteer Application Form

Webmaster - Lynnette Winfrey Copyright © 1999 Episcopal Diocese of Alaska. All rights reserved. Revised: 07/11/05

Webmaster - Lynnette Winfrey
Copyright © 1999 Episcopal Diocese of Alaska. All rights reserved.
Revised: 07/11/05