Volunteer Application Volunteer Application If you are human, leave this field blank. Thank you for your interest in volunteering at Barren Heights. We desire to make your service experience a blessing as you strive to bless others. Some volunteer positions require a Background Check, Liability/Photo Waiver, Signed Statement of Faith and House Rules Acknowledgement. Please visit the Volunteer Schedule for available Retreat Weekends & Volunteer Roles. Family/Group Information Family/Group Name * Phone Number Address * Address Line 2 City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal Code * Health Insurance Provider: Policy Number: Referral Information Please provide a minimum of 2 referrals of someone who can attest to your character/work ethic: 1. Person Who Referred You to Barren Heights 1. Person Who Referred You to Barren Heights First Name Last Name Organization Phone Number Email 2. Church Affiliation Reference 2. Church Affiliation Reference First Name Last Name Church Name Phone Number Email 3. Other Reference 3. Other Reference First Name Last Name Organization Phone Number Email Service Details Please explain why you have interest in serving at Barren Heights: Additional info that may be helpful in processing your volunteer application: Volunteer Information How many volunteers do you want to register? (including yourself) * 1 2 3 4 5 6 7 8 Volunteer #1 - Primary Contact Person First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone * Email * Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Volunteer #2 First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone * Email * Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Volunteer #3 First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone Email Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Volunteer #4 First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone Email Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Volunteer #5 First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone Email Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Volunteer #6 First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone Email Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Volunteer #7 First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone Email Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Volunteer #8 First Name * Last Name * Nickname Employer Occupation/Job Title Date of Birth * T-Shirt Size YS - Youth Small YM – Youth Medium YL – Youth Large YXL – Youth X-Large AS – Adult Small AM – Adult Medium AL – Adult Large AXL – Adult X-Large A2XL – Adult XX-Large A3XL – Adult XXX-Large Mobile Phone Email Health Concerns/Limitations: Food Allergies/Restrictions: Preference for volunteer assignments: Early Morning Mid-Day Late Evening When are you able to volunteer? (check all that apply) Weekdays Weeknights Weekends Personality Preference: (check all that apply) Work Alone Outgoing Behind The Scenes Group Member Group Leader Special Gifts/Talents/Experience (check all that apply) Artistic Talents: Guitar Painting Piano OtherOther Communications: Graphic Design Photo / Video Writing Facility Services: Childcare Cleaning Cooking Organizing Teaching: Mentoring Public Speaking Training Office: Administrative Support Computer IT Research Physical Labor: Gardening Painting Repairing Event Services: Decorating Donation Soliciation Fundraising Hospitality Christian Care: Family Support Men's Support Prayer Warrior Women's Support Recreational: Archery Boat Driver Campfire Experience Grilling Recreational Games Tractor Driver What professional expertise are you willing and able to offer? Accounting Carpentry/Construction Electric Health/Medical Human Resources IT Tech Leadership Legal Marketing Project Management Additional Comments regarding Special Gifts/Talents/Experience: Please check if you agree with the following statements. By checking the boxes below you are agreeing to an electronic signature. Checkbox 1 * The information contained in this Volunteer Application is correct to the best of my knowledge. I understand that completing this application does not guarantee me the opportunity to serve at Barren Heights. I release Barren Heights, its employees and volunteers from all liability for any damages or injury which may occur at any time in the course of my service or pursuit of service. I authorize Barren Heights volunteers to act in their best judgment on my behalf in case of an emergency. Checkbox 2 * I have read Barren Heights Statement of Faith and my personal beliefs align with the ministry. Checkbox 3 * I agree to abide by the House Rules of Barren Heights and to refrain from unscriptural, immoral, illegal or unethical conduct in the performance of my volunteer service. I agree to participate in training provided by the retreat leaders. Checkbox 4 * I give my consent that photographs, interviews and audio/video records taken by and of my family during the course of the retreat may be used by Barren Heights for training, promotion and fundraising. Checkbox 5 * I consent to have an informational report made as to my criminal background. Checkbox 6 * I have carefully read this authorization. I understand its contents and I am signing it of my own free will on behalf of myself, legal representatives, spouse, heirs and assigns. Checkbox 7 * I will protect the privacy and security of any confidential information (not limited to an individual’s date of birth, medical information, contact information, etc.) that I obtain during my time volunteering at Barren Heights. Volunteer Schedule A aleader ahost1 ahost2 acaretaker Volunteer Schedule B bleader bhost1 bhost2 bcaretaker Volunteer Schedule C cleader chost1 chost2 ccaretaker Volunteer Schedule D dleader dhost1 dhost2 dcaretaker Volunteer Schedule E eleader ehost1 ehost2 ecaretaker Volunteer Schedule F fleader fhost1 fhost2 fcaretaker Volunteer Schedule G gleader ghost1 ghost2 gcaretaker Volunteer Schedule H hleader hhost1 hhost2 hcaretaker Volunteer Schedule I ileader ihost1 ihost2 icaretaker Volunteer Schedule J jleader jhost1 jhost2 jcaretaker Volunteer Schedule K kleader khost1 khost2 kcaretaker Volunteer Schedule L lleader lhost1 lhost2 lcaretaker Volunteer Schedule M mleader mhost1 mhost2 mcaretaker Volunteer Schedule N nleader nhost1 nhost2 ncaretaker Volunteer Schedule O oleader ohost1 ohost2 ocaretaker Volunteer Schedule P pleader phost1 phost2 pcaretaker Volunteer Schedule Q qleader qhost1 qhost2 qcaretaker Volunteer Schedule R rleader rhost1 rhost2 rcaretaker Volunteer Schedule S sleader shost1 shost2 scaretaker
