Volunteer Position

Education
High School*
Address*
Street Address City State ZIP Code
Did you graduate?*
- Yes
- No
Dates attended*
College*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Did you graduate?*
Dates attended*

References
Please list two references other than relatives or previous employers.
Name*
First Last
Relationship:*
Phone*
Email*
Name*
First Last
Relationship:*
Phone*
Email*

Essay Questions
Please provide a brief answer of no more than 150 words for each of the following:
Please share your salvation testimony.*
Why do you want to serve at Push The Rock?*
What excites or interests you most about this opportunity?*
Considering your gifts, abilities and experience, why would you be a good fit at Push The Rock?*

Other Information
*
An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Add any additional information below to summarize your full qualifications for the specific position for which you are applying for.
Certification
I am aware that any omissions, falsifications, misstatements, or misrepresentations above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and or fitness for employment by employers, schools, and other individuals to Push The Rock staff for employment purposes. This consent shall continue to be effective during my employment if I am hired. I certify that to the best of my ability and belief all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith.
E-Signature*
First Last
Phone
This field is for validation purposes and should be left unchanged.

Applicant Information