Volunteer Application
  • Thank You for your interest in becoming a Youth Commission West Virginia Volunteer. Please complete the entire application below and one of our staff members will be in touch shortly.
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  • Personal Information
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  • First Name*
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  • MIddle Name*full name
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  • Last Name*full name
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  • Address*Address 1
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  • Address 2*Address 2
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  • City*City
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  • State*Select your state
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  • Zip*Zip
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  • Email*a valid email address
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  • Cell Phone*Cell Phone
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  • Home Phone*Home Phone
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  • Date of Birth mm-dd-yyyy*Date of Birth
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  • Certify*Over 18
    I certify that I am over age 18 and wish to serve as a Volunteer for Youth Commission West Virginia.
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  • Background Check*Authorize
    I authorize Youth Commission West Virginia to conduct a criminal background check. Additional background application form is required and will be sent to you at a later date via email.
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  • Statement of Faith*Statement of Faith
    I have read and agree with the Youth Commission West Virginia Statement of Faith. View our statement of faith below.
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  • Interest Areas
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  • Please select the areas in which you are interested in becoming a volunteer. (select all that apply)
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  • Volunteer Areas*Areas to Volunteer
    Administrative Support
    Campus Teams
    Marketing Team
    Prayer Team
    Pastor Campus Mentor
    Teacher Sponsor
    Parent Volunteer
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  • Select the County and School in which you would like to volunteer.
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  • County to Volunteer*County to Volunteer
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  • Name of School*Name of School
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  • Employment History
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  • Please list your current employer. If you are not employed please list your most recent employer.
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  • Employment Status*Employment Status
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  • Employer Name*Employer Name
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  • Employer Address*Employer Address
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  • City*Employer City
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  • State*Employer State
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  • Employer Zip*Employer Zip
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  • Supervisor Name*Supervisor Name
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  • Employer Phone Number*Employer Phone Number
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  • Personal Situations
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  • Personal Situation*Personal Situation
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  • Do you have children of your own?
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  • Do you have Children of your own?*Do you have Children of your own?
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  • Have you ever been arrested, convicted or pleaded guilty to a crime?
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  • Crime*Crime
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  • Personal References
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  • Name of Reference*Name of Reference 1
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  • Phone*Reference Phone 1
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  • Address of Reference*Reference Address 1
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  • How long have you known this person?
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  • How long have you known this peson?*How long have you known this peson?
    Less Than 1 Year
    1-3 Years
    3-5 Years
    Over 5 Years
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  • Name of Reference*Name of Reference 2
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  • Phone*Reference Phone 2
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  • Address of Reference*Address of Reference 2
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  • How Long have you known this person?
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  • How long have you known this person?*How long have you known reference 2
    Less Than 1 Year
    1-3 Years
    3-5 Years
    Over 5 Years
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