Volunteer Form

Note:

If you are over the age of 18 and you plan on working with children or seniors, you must be police checked.

Tell us what special skills or interests you have, that you’d like to use while working in this Southside
ministry:

Tell us about your experience gained through work, at home or other volunteer positions that will be
helpful to you, and your co-workers here.

Reference #1

Reference #2

Emergency Contact



I confirm that the information included in this form is true and complete. I understand that, if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my being asked to step back from my work at Southside.

Our Policy

It’s Southside’s policy to provide equal Volunteer opportunities to adults without regard to race, color,
national origin, gender, or level of ability.

Thanks for completing this application and for your interest in volunteering with us!

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