Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Date of Birth
*
Volunteers must be 25 years or older.
MM
DD
YYYY
U.S. Citizen?
*
Email
*
Phone
*
(###)
###
####
Available Start Date
*
MM
DD
YYYY
Have you applied for a job or volunteer position with NSI before?
*
How did you hear about North Star Initiative?
*
Please list any foreign languages that you speak:
*
What position(s) are you applying for?
If selecting other, list below:
How many hours are you available to volunteer per week?
*
I am currently:
*
Other
Current Employer
*
Please describe current or previous community activities, memberships, etc.
*
Brief description of hobbies, interests, skills, and areas of training/expertise:
*
Have you previously volunteered/worked with an organization working with survivors of sex trafficking, abuse, or exploitation?
*
If yes, where?
*
How would you describe your knowledge about human trafficking?
*
Other
Describe your spiritual journey as a follower of Christ:
*
Please answer, "How can one have a relationship with God?"
*
What church do you attend?
*
Have you ever been convicted of a of a crime? (Including a DUI)
*
Have you ever been convicted of neglect, abuse, or substance dependency?
*
Do you have a physical or emotional condition, including alcohol or drug dependence, which may effect or is likely to effect your ability to perform your professional duties?
*
Emergency Contact 1
*
First Name
Last Name
Emergency Contact 1 Phone
*
(###)
###
####
Relationship to You
*
Emergency Contact 2
*
First Name
Last Name
Emergency Contact 2 Phone
*
(###)
###
####
Relationship to You
*
Reference 1
*
First Name
Last Name
Title or Relation
*
Reference 1 Email
*
Reference 1 Phone
*
(###)
###
####
Years Known
*
Reference 2
*
First Name
Last Name
Title or Relation
*
Reference 2 Email
*
Reference 2 Phone
*
(###)
###
####
Years Known
*
I understand and affirm that all of the answers provided on my application are true. I understand that misrepresentations or omission of facts called for is cause for dismissal. I hereby authorize North Star Initiative to investigate my background and to contact the above given references for the purposes of determining my suitability as a potential volunteer.
*
