Please print this page, complete the application, and mail it to:                 Menchville House Ministries, Inc.

                                                                                                           Attention Nominating Committee

                                                                                                           P. O. Box 22687

                                                                                                           Newport News, Virginia 23609-2687.

 

Menchville House is an Equal Opportunity Employer seeking gender and ethnic/racial diversity.

 

APPLICANT INFORMATION   Date of application: __________   

 

Name:     Last _________________  First  _________  M.I. ___ 

Street Address:                               Apartment/Unit:

 

City:                                                 State:               ZIP:  

 

Phone: (      )                                   E-mail Address:

 

Days Available:                                Hours available:

 

EMPLOYER:

Address:                                City:                              State:                ZIP:

 

Job Title:                               Job Skills:

 

 

PERSONAL INFORMATION    (Include additional pages as needed.)  

Your birthday: ___________.

What is your highest level of education / special training?

Hobbies / Special Interests / Activities / Other job experience?  

 

What volunteer experience do you have?                        Where?

 

Please list the office equipment with which you have experience:

 

Please list the computer programs with which you have experience:

 

If you have building and maintenance experience, in what areas?

Do you have your own tools?

 

If you have teaching or tutoring experience, in what subjects?

 

If you have fundraising or financial planning experience, please describe your

experience:

 

What other experience and skills would you be willing to share as a Volunteer:

                                                                        

Please list any other information we should know about you:

                                                                      

 

 

LEGAL MATTERS

Do you have a valid Virginia State Driver's License?       Yes      No         

Have you been convicted of a criminal offense?              Yes      No                                

If yes, please explain:                           

 

Include additional pages as needed.

 

If you have military experience?    

Years of service           Military Rank at Discharge          Type of Discharge

 

If other than honorable, explain:

                                                                             

REFERENCES  

1. Name                                          Relationship 

    Address                                       Phone (    )

    City                                                State                 ZIP

 

2. Name                                          Relationship 
    Address                                       Phone (    )

    City                                                State                 ZIP

 

3. Name                                          Relationship 
    Address                                       Phone (     )

    City                                                State                 ZIP

 

How did you hear about Menchville House?

 

It is understood and agreed that the foregoing is true to the best of my knowledge. I authorize the Menchville House to contact my references. 

Signature _________________________            Date ___________

 

In case of emergency please notify:

 

Name ______________________                                  Phone ___________

 

The Board of Directors is grateful to you for your interest in volunteering at Menchville House. Once we receive the required information from you we will do all we can to expedite the application process. Thank you.

Application for Volunteers

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