* indicates a required field.

Your Name *

Your Email *

Street Address *

City *

State *

Zip Code *

Country *

Phone *

Birthday * (yyyy-mm-dd)


Driver License #

State of License

Current Insurance Co.

Minor Driving convictions in the last 3 years

Serious Driving convictions in the last 7 years


Emergency Contact

Name *

Phone *

Relationship *


School

I am currently a student: * YesNo

School Name:

Major/Area of Study:


Employment

I am currently employed: * YesNo

Occupation: *

Education and employment background: *

Please list any languages you are fluent in: *


References

Name *

Phone *

Relationship *

Name *

Phone *

Relationship *


Volunteering

What area of volunteering are you interested in? *

Please explain “Other” and list any previous or current volunteer experience:

Why are you volunteering? *


If Other selected please explain:


Faith background

Do you believe in God? *

Do you believe that putting your trust(faith) in Jesus Christ you can have eternal life? *

Have you received Jesus Christ as your Savior? *

Have you been baptized? *

Do you attend a church? *


If Yes, where do you attend?


List any qualifications, skills, or personal background that you bring to this position and ministry:


Have you ever been convicted of a crime, including reckless and drunk driving convictions, sex-related, or child abuse related offenses (other than parking violations and/or juvenile activity)?

If Yes, please explain your offense, the state and city it was committed, and when did the offense occur: (NOTE: IF THE BACKGROUND CHECK REVEALS ANY CONVICTION(S) THAT IS NOT DISCLOSED ON THIS APPLICATION, THE FAILURE TO DISCLOSE THE CONVICTION(S) WILL RESULT IN A DENIAL OF PARTICIPATING IN TRUE ID. THIS IS FOR YOUR PROTECTION, FELLOW VOLUNTEERS, AND THE INDIVIDUALS WE SERVE.

I am aware that a background check is being conducted and that I will need to pass to be eligible to serve in true ID.


How did you hear about true ID?

Would you like to receive true ID prayer requests?

YesNo

Please read the following agreement. Click "Yes" below if you accept the terms.

Waiver and Release of Liability – true ID, Volunteer

The undersigned (true ID Volunteer) recognizes that the true ID program involves a relationship with multiple entities to provide the services to help individuals transition out of the sex-industry. I acknowledge that I am willing to participate in the true ID program as a volunteer. The information I provided in my application is true and correct to the best of my knowledge. I agree to comply with all policies and procedures of true ID, including anti-drug and anti-alcohol usage, dress code, confidentiality policy and/or any other policies established now or in the future. I understand that true ID and their partners will maintain Volunteers’ confidentiality to the extent possible.

I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge from any and all liability for personal injury including disability or death, property damage, property theft, ramifications of advice provided, infractions or actions of any kind which may hereafter accrue to me, including any travel required, true ID, its directors, officers, employees, volunteers, representatives, and agents, ministry partners, other volunteers; our true IDpartner organizations including but not limited to City of Henderson Police Department; Las Vegas Metropolitan Police Department; Renewing Life Center; Neshamah Ministry, partnering churches; counselors; mentors, etc. (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this program, whether caused by the negligence of the persons or entities being released or otherwise. (C) If an emergency medical situation should arise during my participation; I hereby authorize true ID, and it’s partner organizations, on my behalf, to take whatever measures are necessary to ensure that I am provided with any emergency medical treatment necessary in order to protect my health and well-being. I understand that the provisions above (A) and (B) shall apply if (C) is required and I will be solely liable for expenses and outcome related to this medical emergency. I understand that during my participation, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the true ID and partner organizations, and/or assigns without compensation, permission or notification to me. While true ID appreciates my cooperation, true ID will respect my decision if I withhold or request myinformation not to be publicized by true ID if I deem it necessary, unless my non-cooperation results froma violation of the guidelines, rules, and regulations governing my conduct while volunteering in true ID.

Yes, I have read and accept the above agreement.No, I do not accept.


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