Volunteer application

The completion of this form is required before you may volunteer for any of MIFA's programs. If you have volunteered for MIFA and completed this form before, you are in our database and do not need to complete it again. Contact Charlie Nelson, Director of Special Events and Volunteers, with any questions at (901) 529-4514 or cnelson@mifa.org.

 

Your application will be kept on file for 90 days; if you do not volunteer at MIFA within those 90 days, your application will be discarded, and you will have to apply again in the future.

 

Before selecting your preferred volunteer opportunities below, you must review MIFA's volunteer requirements to ensure that you select programs for which you are an eligible volunteer.

I certify that I have read and understand MIFA's volunteer requirements.
Title (Mr., Mrs., Ms.)
First name
Last name
Address
City
State
ZIP code
Home phone
Work or cell phone
Email address
Do you have reliable transportation?
Date of birth
Are you volunteering with a group? If yes, please indicate the group's name.
Emergency contact's name and relationship
Phone number
Alternate phone number
What type of volunteer work do you desire?
What days/times are you available to volunteer? (check all that apply)
Please provide two references (no relatives) whom we may contact by phone. Reference 1:
Reference 1 phone number:
Reference 2:
Reference 2 phone number:
Have you ever been convicted of a crime?
If yes, please give date, nature of the offense, and disposition. NOTE: A criminal record will not necessarily disqualify an applicant.
Volunteer interests - first choice
Volunteer interests - second choice
What, if any, restrictions might affect your volunteer work (i.e., work/family/schedules/health)?
Why do you want to be a volunteer?
Checking the box labeled "I consent" verifies that you have read and consent to the agreement below.
Please answer the simple math question below to submit the form.
2 + 2 =

Volunteer agreement

INSTRUCTIONS: If you are under 18 years of age, a parent or legal guardian must also sign a waiver on your behalf. If you are under 16 years of age, a parent or legal guardian must sign the waiver AND accompany you, unless you are with an organized, chaperoned group which has MIFA's permission to participate. If you are under age 18, you must turn in a hard copy of this waiver. Click here for a copy of the waiver, which must be signed and returned to:

Attn: Charlie Nelson
MIFA
910 Vance Avenue
Memphis, TN  38126
cnelson@mifa.org
fax (901) 527-3202

I hereby release MIFA, its agents and representatives from any liability and responsibility that may arise in connection with my volunteer duties. I also hereby consent for MIFA to use my name, likeness or program participation for public relations purposes; I understand that I will not receive compensation for any such use.

If driving is involved in my volunteer duties, I hereby acknowledge that I have a current driver's license and automobile liability insurance.
 

Checking the box above serves as notice that the information provided on this application is true and accurate to the best of my knowledge. Any intentional false or misleading information provided may be grounds for dismissal from the MIFA volunteer program.

 

I also agree to the following requirements:

  • To perform my volunteer duties to the best of my ability
  • To adhere to MIFA rules and procedures, including record keeping requirements and the confidentiality of agency and client information;
  • To meet time and duty commitment, or to provide adequate notice so that alternate arrangements can be made;
  • To at all times act as a member of the team responsible for accomplishing the mission of MIFA.


By checking the box above, I certify that I have read this release and consent to my/my child's participation as a volunteer for MIFA and its programs.



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Metropolitan Inter-Faith Association

910 Vance Avenue, Memphis, TN  38126

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