Name *

First Name

Last Name

Phone

(###)

###

####

Please indicate which area(s) of SIRV you would like to volunteer (you can select more than one) *

1. Safety (Cleanup, Parking, Accidents, Child Safety & Monitoring)

2. Medical (Standby personnel for CPR, AED, Tourniquets, First Aid Response)

3. Security (Securing Doors, Suspicious vehicles/persons, escorts, Tithes)

4. Dispatch (Standby 911 Dialer, 2-Way Radio, Surveillance Cameras)

Also, please indicate WHEN you would like to volunteer: *

A. Sunday Morning Operations (1st 9am or 2nd 10:30am Service)

B. Wednesday Night Operations (5pm-7:40pm)

C. Special Events (Family Fun Night, Easter, Backpacks)

I understand to Volunteer at Faith Church, an OSBI Criminal History Record Request must be on file: *

I understand & agree