First Name *

Last Name *

I have volunteered with PT Tennessee in the past year. *

Yes

No

Gender *

Male

Female

Prefer not to answer

Mailing Address *

Mailing Address

City

State/Province

Zip/Postal

Email Address *

Cell Phone

Home Phone

Date of Birth *

(Required for background check verification purposes)

Home Church

(If applicable)

PT has permission to take my photo. *

Yes

No

Site Preference *

Antioch United Methodist Church, Antioch

Matthews Memorial United Methodist Church, Madison

Trinity Community Commons, East Nashville

Any/Undecided

Day of Week Preference (4-5:15pm) *

Check all that apply.

I understand that I must attend a one-hour orientation session prior to volunteering. *

Yes

I understand that if I am age 18 or above, I must have a clear background check that includes a State or County Search run in the last four years to volunteer with children. *

Yes

If you do not have a qualifying background check on file with your home church, Project Transformation will run a background check.

I understand that if I am unable to attend my scheduled volunteer time, I will contact my young adult Fellow to let him/her know at least 24 hours in advance. *

Yes

I want to receive the PT e-Newsletter! *

Yes

No

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