Volunteer Application & Questionnaire

Thank you for your interest in volunteering at Rehema Home! We're looking forward to getting to know you better. 

 

Please complete the form below

General Information
Name *
Name
Birthday *
Birthday
Sex *
Address *
Address
Your Preferred Phone *
Your Preferred Phone
Personal Information
Travel Information & History
Do you have a valid passport? *
Birthdate *
Birthdate
Have you participated in any overseas travel experiences in the past? *
Country, Length of Trip, Reason for Trip (Missions, Business, Pleasure, etc.)
Health & Background Information
Have you ever been convicted of a misdemeanor or felony? *
Emergency Contact Information
Primary Emergency Contact *
Primary Emergency Contact
Address *
Address
Secondary Emergency Contact *
Secondary Emergency Contact
Address *
Address