Volunteer Application Question Title * 1. Date Submitted MM/DD/YY Date Question Title * 2. Signed waiver Yes No Question Title * 3. Thank you for your interest in volunteering with Church Army USA! The information that you provide will help us to place you in a volunteer position that best suits your interests, and the needs of our organization. (Please print clearly) Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number Question Title * 4. Age Group Under 18 18-24 25-34 35-44 45-54 55-64 65+ Question Title * 5. Previous volunteer experience with CAUSA Yes No Question Title * 6. Occupation Question Title * 7. Company Question Title * 8. Church/Service Organization Question Title * 9. Availability Monday Tuesday Wednesday Thursday Friday Saturday Sunday Question Title * 10. Work preference (would you prefer work that is...) Outdoor/Labor intensive (examples: construction, housekeeping, grounds and facilities, maintenance) Indoor/Administrative (examples: filing, word processing, telephoning, letter writing, etc.) No preference (can work wherever most needed) Done