Key Contact Volunteer Form

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By submitting any information down below, you are agreeing to be contacted by Kids Joining Eternity. You can also click Kids Joining Eternity Key Contact Volunteer Form and email the completed form to melanie@kidsjoiningeternity.org and let us know what area(s) you would like to assist us in.

Your Name (required)

Date Completed (required)

Check all of the areas you are interested in volunteering: (required)

Your Email (required)

Mailing Address (required)

City, State Zip Code (required)

County you live in (required)

Date of Birth (required)

Have you ever lost a baby/child? If Yes, how long ago since your last loss? (required)

If Yes, please list the date(s) of your loss(es) and how far along you were each time (required)

Have you ever been convicted of a felony? (required)

Have you had any criminal convictions for child abuse or sex-related crimes? (required)

References: List three references that have known you at least three years whom you authorize us to contact. Make one reference a family member and the other two references either Personal or Professional. Please include their full name, email address, phone number and the number of years you have known him/her. *References may include supervisors, co-workers, faith leaders, teachers, or school counselors. **One reference must be a family member or guardian. ***Completing and returning or submitting this application signed indicates your consent to a background check. (required)

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