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Compassion Youth Mentoring Interest Application

This application is to be completed by all interested partners. It will be used to help the ministry provide a safe and nurturing environment for those we serve and learn more about you as a potential volunteer with Compassion Youth Mentoring (CYM). Some of the information you provide on this application will also be used for completing a background check prior to becoming a volunteer.

I Am Applying For:

Position

Volunteer Information

Name*

Address*

Phone Number*

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Email Address*

Confirm Email Address*

I would like to receive Compassion Connect communications

About You

Gender*

Marital Status*

Driver's License #*

Issuing State of DL*

Occupation*

Employer*

Work Phone*

Name of Supervisor*

Emergency Info

Emergency Contact*

Relationship of Emergency Contact*

Emergency Contact's Phone Number*

Allergy Information*

References

Name of Personal Reference*

Phone Number - Personal Reference*

Relationship to Personal Reference*

Name of Ministry or Volunteer Reference*

Phone Number of Ministry or Volunteer Reference*

Relationship to Ministry or Volunteer Reference*

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