Group Volunteer Group Name*Group Size*Please enter a number greater than or equal to 2.Affiliation (i.e. church, business, club, etc.)*Please list the names of all individuals who will be accompanying you (no one under age 12 permitted)*Main Contact Name* First Last Main Contact Birth Date* Main Contact Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Main Contact Email* Main Contact Phone*Main Contact Work PhoneMain Contact Cell PhoneBest way to contact you?*EmailMain PhoneWork PhoneCell PhoneIs your group interested in volunteering once or on a regular basis?*One TimeRegularlySporadicallyWhen would you like to start?* What type of volunteer opportunity are you interested in (check all that apply)?* Kitchen Server Data Entry/Filing Tutoring Mentoring Truck Driver Maintenance/Facilities Project Special Events Help Leading Bible Study Preaching in Chapel Leading Worship in Chapel Information Technology Transportation Assistance Teaching Life Skills Manning Front Desk Help In Pantry Computer Class Teaching Recovery Class Overnight Security Board of Directors Counseling Offer Professional Service Community Service Project In-Depth Cleaning Media Help (marketing tools development) Grounds Assistance Help With Mailings Other When is your group available (times of days, days of the week, etc.)?*Why did you choose to apply to volunteer at the Frederick Rescue Mission?*How did you hear about the Frederick Rescue Mission?*Do you receive services from the Frederick Rescue Mission (eat meals, get food boxes, receive vouchers)?*YesNoIf Yes, please list which services and how often you receive them:*Does your group have prior volunteer experience?*YesNoIf Yes, please list organizations, positions/duties, and dates you volunteered:*What experience, education, training, qualifications, skills, hobbies, talents and gifts do you feel will contribute to your service to the Frederick Rescue Mission?*Would your group prefer to work with* Things Ideas/Concepts People Would you prefer to volunteer on the premises or away from the facility* On the premises Away from the facility Has anyone in your group ever been convicted of a felony or misdemeanor?*YesNoIf Yes, please explain and give date*Additional CommentsFor All Applicants, please read the following and indicate that you have done so: 1. We certify that the facts set for in this group volunteer application are true and complete to the best of our knowledge. We understand that any false statement, omission, or misrepresentation in our application or placement interview may result in the rejection of our application or discharge from the volunteer program. 2. We consent to having FRM complete a criminal background check prior to volunteering. 3. All volunteers will be subject to a background check. The Mission does not accept volunteers with alcohol and/or drug convictions within the past three years. Anyone with violent convictions or sex offenses would not be permitted to volunteer. While some volunteers may be of a different world religion or no religion, it is expected that they do not do anything to undermine the teachings and ministry of the Frederick Rescue Mission, Inc. This includes proselytizing clients to their religion as well as distribution of literature or other information.Accept Terms* Authorize For All Applicants, please read the following and indicate that you have done so: “I authorize the Frederick Rescue Mission to verify information provided on this application. I understand that misrepresentation or omission of facts requested is case for non-placement as a volunteer. If placed as a volunteer, I agree to support the Frederick Rescue Mission.