Volunteer Application Volunteer_Application PO Box 354 ● Baxley, GA 31515 Phone: 912-366-7777 ● Fax: 912-366-7798 Volunteer ApplicationName *Age *Race *Sex *Address *City *State *Zip *Home Phone *Cell *Best Time To Call *8 a.m.-5 p.m.After 5 p.m.E-mail *What volunteer opportunity are you interested in? Check all that apply. *Office/ClericalBible StudyTransportation/DriverAA/NA GroupFundraising/Special EventsFamily DayOtherAre you willing to be a part of our next volunteer orientation? YesNoWhat hours would you be available to volunteer? *SectionSignature of Applicant *Date *I agree: I hereby authorize the 24/7 House, Inc. to contact the above named reference to establish my suitability as a volunteer, and I hereby release them and their organization from all liability for any damage for issuing the same. I further authorize 24/7 House, Inc. to maintain this information in their records and absolve then from liability. Disclaimer: It is the policy of the 24/7 House to screen all prospective volunteers. While we try to place every applicant, we reserve the right to select applicants according to our needs and criteria. I understand and respect the confidential nature of the information I may have access to in performing my volunteer duties for the 24/7 House, Inc. I authorize 24/7 House, Inc. to publish my name and likeness in 24/7 House, Inc. promotional materials, news releases, etc. VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: