CENTRAL WYOMING RESCUE MISSION VOLUNTEER INFORMATION

CENTRAL WYOMING RESCUE MISSION
VOLUNTEER INFORMATION
P. O. Box 2030, Casper, WY 82602. 230 N Park, Casper, WY 82601
307-268-4474
PLEASE PRINT
Date: _________________________________
Name: ________________________________ Phone Number: ______________________________
Address: ______________________________Email:________________________________________
City: __________________________State: ________________Zip: __________________________
WE ARE SO THANKFUL THAT YOU HAVE CONSIDERED JOINING THE TEAM AT CWRM. IN ORDER TO USE YOUR
ABILITIES TO THE FULLEST POTENTIAL, WE WOULD LIKE TO KNOW A LITTLE ABOUT YOUR PERSONAL
BACKGROUND. Specifically list areas in which your skills & interests lie, including hobbies and other
activities: ___________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Below are a few select volunteer positions. Please mark the areas in which you would enjoy working.
Check out our website www.cwrm.org for details & updates on opportunities.
___ Ambassador or ‘drives’ coordinator for your church or business
____
____
____
____
____
Assist day cook in kitchen
CWRM Rescued Treasures: tagging/processing donations, some lifting
Help with fundraisers/events (plan, seek sponsors, make calls, distribute flyers, work events, etc.)
Groups or individuals to help with special occasions at TTC (the women & children’s shelter)
Professional Volunteer: in your area of expertise (ie. financial) or spiritual. Spiritual mentors must agree with
CWRM Statement of Faith.
____ Create an evening of fellowship for our guests: games, activities, bowling, etc. (we can provide transport)
____ Needs Projects: Bag on Door Neighborhood/Grocery Store
____ Administrative Volunteer
____ Other _________________________________________________________________________
What days and hours are you available: __________________________________________________
I understand that CWRM is engaged in the practice of ministry and that, within the context of that ministry, I am volunteering to
perform work duties without any expectation of compensation. I declare I am serving as a volunteer and not an employee. I realize
CWRM will not be held responsible for any accident or injury that may occur while I am a volunteer. I hereby affirm the information I
provide on this application is correct and that my references may be contacted.
Signed:__________________________________________
Date:_________________________
VOLUNTEER APPLICATION PERSONAL INFORMATION
BIRTHDATE: ______________________ (If Volunteer is under the age of 18 certain restrictions and limitations apply,
please contact Volunteer Coordinator)
CURRENT OR FORMER OCCUPATION:
__________________________________________________________________________________________
EDUCATION:
GRADE COMPLETED______
DIPLOMA _________
GED ________________
COLLEGE/TRADE SCHOOL: ____________________________________________________________________
MAJOR: ___________________________________________________________________________________
NON-RELATIVE REFERENCES: Please be advised we may check your references.
Name
1.
2.
3.
Relationship
Years Known
Phone Number
Address
Have you ever been convicted of a crime? ____ Explain type, dates and outcome.
__________________________________________________________________________________________
Are you currently on probation, CAC or other structured law enforcement? ____________________________
If yes, please explain_________________________________________________________________________
Are you in recovery from any life controlling problems, (alcohol, drug, mental issues) ____________________
If yes, please explain_________________________________________________________________________
If currently taking prescription medications, please list type
__________________________________________________________________________________________
__________________________________________________________________________________________
Do you attend a local church ______
If so, where _________________________________
Why do you want to be a volunteer: ____________________________________________________________
__________________________________________________________________________________________
Any other information or special needs you would like staff to be aware of:
________________________________________________________________________________
Emergency contact: ________________
Phone Number: __________________