VOLUNTEER APPLICATION

Navajo Ministries, Inc., PO Box 1230, Farmington, NM  87499-1230

Date
Last Name      First Name     Middle Initial
Street Address
City     State      Zip Code
Home Telephone       Business Telephone
Position volunteering for:
Social Security Number
Date available to begin volunteering:
Would you volunteer part-time?
Name of church you attend:
Number of years attended there:
List any skills, talents or experience you have acquired and would like to use at Navajo Ministries:

Are you legally eligible for employment in the United States?    choose yes no

Have you ever applied for employment/volunteering with Navajo Ministries?   choose yes no
 If Yes  Date:                            

Have you been convicted of a crime (other than a misdemeanor) in the past ten years?  choose yes no
If yes, please describe:
 

If you are applying for a position where you will be working with children or living on Ministry grounds, Navajo Ministries is required to submit your fingerprints to the Department of Safety in Santa Fe, NM.
Do you give your permission to be fingerprinted?       choose yes no

Do you have any physical condition that would affect your ability to perform duties relating to the position you have applied for?     choose yes no
If yes, how can we accommodate you?

Would you agree to abstain from the use of alcohol and tobacco while on Ministry grounds or representing the Navajo Ministries off grounds?     choose yes no

See About Us (use browser back button to return here)

Have you carefully read the by-laws of Navajo Ministries, Inc. and do you understand the general working of the corporation?      choose yes no

Do you feel called of God to serve Him in your area on behalf of the Navajo people, in affiliation with Navajo Ministries?      choose yes no

Graduate School
Name
Address
Course of Study
Number of Years Completed                 Did You Graduate?   choose yes no
Degree or Diploma 

College
Name 
Address
Course of Study
Number of Years Completed                  Did You Graduate?  choose yes no
Degree or Diploma 

Trade School
Name
Address
Course of Study
Number of Years Completed                   Did You Graduate? choose yes no
Degree or Diploma

High School
Name
Address
Course of Study
Number of Years Completed                   Did You Graduate? choose yes no
Degree or Diploma

 Have you served in the U.S. Armed Forces?  choose yes no
If yes, in what branch?
Describe any military training you have received that is relevant to the position for which you are applying:

Please give accurate, complete full-time and part-time employment records.
Start with your present or most recent employer.

I.
Company Name
Address
Telephone
Employed from:           to:
Weekly pay start: $       end: $
Supervisor
Reason for Leaving
Job Title & Responsibilities

II.
Company Name
Address
Telephone
Employed from:            to:
Weekly pay start: $        end: $
Supervisor
Reason for Leaving
Job Title & Responsibilities

III.
Organization volunteered for
Address
Telephone
Volunteered from:             to:
Supervisor
Reason for Leaving
Job Title & Responsibilities

IV.
Organization volunteered for
Address
Telephone
Volunteered from:           to:
Supervisor
Reason for Leaving
Job Title & Responsibilities

We may contact the organizations listed above unless you indicate you do not want them contacted.
  I.   Do not contact. Reason:
 II.   Do not contact. Reason: 
III.   Do not contact. Reason:
 IV.  Do not contact. Reason: 

1.
Name
Address
Relationship         Phone #

2.
Name
Address
Relationship         Phone #

3.
Name
Address
Relationship         Phone #

4.
Name
Address
Relationship         Phone #

Prospective volunteers will receive consideration without discrimination
regardless of race, creed, color, sex, age, national origin, handicap or veteran status

The facts set forth in my application for being a volunteer are true and complete.
I understand that if I falsify information on this application, it shall be considered sufficient cause for my dismissal.
You are hereby authorized to make any investigation of my personal/professional work history.

 
_________________________________________
Signature of Applicant

Please email separately to Baker@NavajoMinistries.org 
a 1-2 page letter introducing yourself to Navajo Ministries and give a testimony of your Christian experience