Volunteer at Lighthouse Christian Academy

Volunteer with LCA

Complete the online inquiry form below

Volunteer Form

Title:

Full Name:

Driver's License #

Date of Birth:

Street Address:

City:

State:

Zip Code:

Primary Contact Phone

Secondary Phone Number:

Email

Preferred Method of Contact

Phone

Email

Text

BACKGROUND INFORMATION

BACKGROUND INFORMATION

Do you have a history of...?

Alcohol or drug abuse?

Mental illness?

Contagious disease(s)?

Problems with the law?

Have you ever been arrested?

Have you ever been accused of child neglect or abuse?

Has your driver's license ever been suspended or revoked?

Have you ever been on Probation?

EXPERIENCE HISTORY

EXPERIENCE HISTORY

Which age group do you have experience with?

Children (up to age 10)

Youth (11-14)

Teens (15-18)

Adults ( 18+)

Please list previous volunteering experiences:

What are you strongest gifts/skills?

Please tell us which days and times you are available for your volunteer work

Please tell us which days and times you are available for your volunteer work:

Mondays

Tuesdays

Wednesdays

Thursdays

REFERENCES

REFERENCES

Please list the names, addresses, and phone numbers of those who are familiar with your character as it relates to working with youth. Three (3) non-family references please (excluding Pastor and Staff)

Reference #1

Phone Number:

Address:

City:

State:

Zip Code:

Reference #2

Phone Number:

Address:

City:

State:

Zip Code:

Reference #3:

Phone Number:

Address:

City:

State:

Zip Code:

Opt-In

By checking, I agree that the information I have provided may be verified, if necessary, by contacting persons or organizations named in this application, or by contacting any person or organization that may have information concerning me.

Opt-In

I authorize the Lighthouse Christian Academy, its employees, and agents, to make inquiries, including criminal history, employment history, and driving history. I hereby release and agree to hold harmless from liability any person(s) or organization, who, in good faith, provides information to complete a background investigation. I also agree to release and hold harmless the school, or other associated church institution, and the officers, employees, and volunteers thereof from any present or future claim of any kind resulting from any alleged liability for conducting a background investigation which may include, but not limited to, criminal courts, state and county and national repositories of criminal records.

Opt-In

Under the penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true to the best of my knowledge and belief.

Opt-In

By checking, I also declare that I have read and accepted the VOLUNTEER CODE OF CONDUCT

Where to start

Volunteer

Dear Volunteer,

Volunteer with LCA

Volunteer Form

Address

Phone/Fax

Parent Text-Only Line

Office Hours

School Hours

Page Links

Quick Links