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Volunteer Application Form for SHINE and Crown Jesus Ministries
First name
*
Last name
*
Email
*
Phone
*
Date of birth
*
Day
Month
Month
Year
Church
*
Address
*
Country of Residence
*
Name of Pastor/ Minister
*
Contact Email/ Tel. No.
I give permission for Crown Jesus Ministries to contact my church leader for reference purposes
*
Yes
No
Please give details of any medical conditions or allergies that we should be aware of
Have you had any treatment for any illness during the past five years which may have a bearing on your ability to participate fully in the SHINE programme?
Yes
No
If yes, please give details here:
Please advise us of any additional support or adjustments required from us for your role:
Is there any other information we need to be aware of?
I agree that:
*
I will adhere to all Health and Safety requirements communicated to me and be aware of my responsibility to others
I will follow all reasonable directions given regarding my role and the fulfilment of it
I will make a team leader aware of any concerns I have regarding Health and Safety and/or Safeguarding
I have completed this form honestly and made Crown Jesus Ministries and the SHINE team aware of any other information required for this role
Signature
*
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