Volunteer Form

1. First & Last Name *

2. Cell Phone: *

3. Home Phone: *

4. E-mail: *

5. Street: *

6. City: *

7. State: *

8. Zip: *

9. Date of Birth (mm/dd/yyyy): *

10. Student's Name: *

11. Student's Homeroom Teacher: *

12. Please select your area of interest. * (1 required)

13. LUNCH SERVERS - 8:30-2:30(Your child/grandchild will receive free lunches) * (1 required)

M T W T F

14. OTHER, Please describe an area of interest:

15. In your own words, please describe how you became a Christian: *

16. Member of what church (name and location): *

17. 1. *

18. 2. *

19. 3. *

20. Radio Label