Your ExperiennceVolunteer Experience and Dates of Service Current Civic/Fraternal/Service Organization, clubs etc. and role you serve Have you ever been convicted of a crime? If yes, please describe. ReferencesPlease provide 2 non-relative references, with their name, address and telephone number. Emergency ContactIn case of emergency, please notify, with their name, address and telephone number. I HEREBY DECLARE that the information provided by me on this application is true, correct, and complete. I authorize Interfaith Neighbors to obtain background information regarding my driving and personal record and release Interfaith Neighbors from any liability regarding the use of this information. I do this willingly, knowingly, and as a voluntary act. Additional Information / Notes Any additional information or notes you would like to add to your application.
