AZ Disaster Relief Volunteer Signup

In order to serve with Arizona Southern Baptist Disaster Relief, you must:

- Complete this form and submit it.

- Complete and pass a background check (if you have not done so with us within 3 years)

- Send in a photo (headshot) for your badge

Volunteer Information

Name*

First Last

Email*

Date of Birth*

Current Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

Gender*

Occupation*

Church Name*

Church City*

T-Shirt Size*

What medical restrictions do you have?

Name*

First Last

Phone*

Do you have any experience with AZ Disaster Relief?*

I am new to Disaster Relief
I am already a part of Arizona Disaster Relief and have taken Chaplaincy before.
I am already a part of Arizona Disaster Relief but have not taken Chaplaincy.

Do you have any of these?

Please check all that apply.

What is the CDL License for?*

When does your Kitchen Manager Certificate expire?*

As a volunteer member of the Arizona Disaster Relief Team, I agree that, as my availability and ability allow, I am expected to:

Therefore, I volunteer to do my best to help carry out the purpose of SBC Disaster Relief in the manner stated above.*

Today's Date*

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