Volunteer Position Application Form (Page 4 of 4) in pdf

OPERATION CHRISTMAS CHILD

Volunteer Position

Application Form

List any other relevant experiences, interests, hobbies or special training:

Describe an event or accomplishment in your life that you enjoyed doing and that you have done well,

other than commitment to Christ, marriage, having children, graduating from any schooling.

Please supply 2 referees (other than your Church referee)

1. Name: ___________________

Phone: _________________

Email: _________________________

What is this person’s relationship to you? ____________________________________________________

2. Name: ___________________

Phone: _________________

Email: _________________________

What is this person’s relationship to you? ____________________________________________________

Because of our concern for the safety of each volunteer team member and each project participant, you

may be required to submit a police background check. If required, are you willing to submit a police

Yes

No

background check to Samaritan’s Purse?

Declaration

1. I have read and completed this form carefully and certify that all information is true and complete to

the best of my knowledge.

2. I understand Samaritan’s Purse may make enquiries to verify my statements in this application and

any other related matters before deciding on my suitability for the role to which I’ve applied. I also

understand that Samaritan’s Purse regularly reviews the endorsement and position of all staff

members and volunteers representing Operation Christmas Child.

3. I have read the Operation Christmas Child Mission Statement, the Core Values and the Samaritan’s

Purse Statement of Faith and my personal beliefs are consistent with these.

Name: _________________________

Signature: __________________________

Date: ___________

Samaritan's Purse Australia Limited retains your personal information as confidential. Your information will

only be used for the application process, and to inform you of programs and projects of Samaritan’s Purse

and to provide you with opportunities to be involved and support our work.

Page 4 of 4

Volunteer Position Application Form Page 4