Volunteer Signup Form

Date/Dates of Service
Date Arriving

MonthDayYear
Date
Date Leaving

MonthDayYear
Date
YOUR CONTACT INFORMATION
CHURCH:
FULL NAME:
GENDER:
EMAIL:
PHONE NUMBER:
STREET ADDRESS:
CITY:
STATE:
ZIP:
Thank you for completing our volunteer form. We'd like to know more about how you'd like to serve at NYSUM. Please indicate the volunteer opportunities you're most interested in.
Maintenance Dept.
Volunteer in Maintenance Dept.

Other
Administration Office
Volunteer in Administration Office

Other
Ministry Services
Volunteer in Ministry Services Dept.

Other
Food Services
Volunteer in Food Services Dept.

Other
Housekeeping
Volunteer in Housekeeping Dept.

Other
Comments
Should be Empty: