Volunteer Application - Montrose Bible Conference

Montrose Bible Conference – Volunteer Application

218 Locust St., Montrose, PA 18801 570-278-1001

mbc@MontroseBible.org www.MontroseBible.org

Name (His)(Required)

First Last

Name (Hers)(Required)

First Last

Date

Address

Street Address Address Line 2 City State ZIP Code

Email(Required)

Email Address Confirm Email Address

DOB (His)

DOB (Hers)

Wedding Anniversary

Home Phone

Cell Phone(Required)

Arrangements will be made in accordance with the information that you provide. Unless we hear from you otherwise, we shall expect you on the date you designate below.

Arrival Date

Departure Date

Lodging Needed

MBC Housing

Campground Site (fill in below)

Size of Rig

Type of Rig:

Trailer

5th Wheel

Do you have, or have you had, any lifestyle, conduct, or activity which would project an image which could embarrass Montrose Bible Conference or impede its credibility with its constituents?(Required)

Yes

Have you ever been convicted of a misdemeanor or felony?(Required)

Yes

Have you ever been arrested or convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor?(Required)

Yes

Volunteers serving Montrose Bible Conference are required to be covered by medical insurance. Please indicate if you have insurance by checking the appropriate box.(Required)

Yes

I understand that volunteers receive no pay and are NOT covered by workers compensation insurance.

I affirm that the information provided in this questionnaire is true and complete. I understand that any false information or omissions will result in my disqualification for further consideration as a volunteer.

Signature (Her)(Required)

Date(Required)

Signature (Him)(Required)

Date(Required)

New Volunteer – please complete the rest of the application:

How did you hear about Montrose Bible Conference?

Why do you want to be a volunteer at MBC? Please elaborate.

List highlights of your work experience:

Type in the box areas in which you are skilled. Indicate work area preferences – 1, 2, 3…. (This does not guarantee that you will be placed in that position.)

Work Areas: Carpentry, Computer Skills, Electrical, Food Service, Gardening/Landscaping, General Cleaning, General Office, Heating/AC, Housekeeping, Laundry, Maintenance, Masonry, Painting, Plumbing, Registration/Front Desk

Preferred Areas (Him)

Preferred Areas (Her)

Reference Information

Pastor's Name

Name of Church

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Church Telephone

List three references:

1. Name

1. Phone # (or email)

2. Name

2. Phone # (or email)

3. Name

3. Phone # (or email)

Who do we contact in case of emergency, other than your spouse?

1. Name

1. Relationship

1. Phone / Cell Phone

2. Name

2. Relationship

2. Phone / Cell Phone

Do you have allergies or medical conditions that we need to be aware of? (e.g. bee stings, diabetes, etc.)

Please list: