Genacross Volunteer Form

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Genacross Volunteer Opportunities & Application

Click on Opportunities below for more details then select and continue into the application. If you did not complete login information, you will be asked to create a new user account at the end of the application.

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Event

Location

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County

Selected Roles

Shifts

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Filters

Time

Date

Role

City

State/Province

Zip Code

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Please select a Shift.

No shifts.

Waiver is required.

Typed Signature is required.

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First Name *

Last Name *

Preferred Name

Nickname

Prefix

Maiden Name

Company Name

Organization, Church or Group Name.

Email *

Phone 1 *

Address Line 1 *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

Emergency Contact Name

Please give a name and their relationship to you.

Emergency Contact Number

Availability

Date available to being volunteer work.

Physical Concerns

For your safety, please list any physical conditions that we may need to be aware of (back trouble, diabetes, asthma, etc.).

Convictions

Yes (please note below)

Have you ever been convicted of a crime?

Conviction information:

Reference

Please list a non-relative reference, your relationship and their best contact information.

Genacross Affiliations

Please list any friends or family who are working for Genacross Lutheran Services.

Community Affiliations

Please list any Community group affiliations you may have (clubs, councils, committees, church, etc.).

Skills/Training

Special educations or training which is relevant to working with residents.

Areas of Interest

Wolf Creek Campus

Napoleon Campus

Family & Youth Services

Senior Independant Living Housing

Please check any that apply.

Photo Release, TB & Criminal Background Consent *

I acknowledge that I may be asked to consent to a photo release, TB testing/screening, and/or criminal background check as part of the Volunteer Application process for Genacross Lutheran Services.

Create an account to save your information and access our online portal!

Password *

Retype Password

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Mailing Address:

2021 N. McCord Rd.

Toledo, OH 43615

Phone Number:

(419)861-4965