Adult Volunteer Application Form

  • If Retired, please indicate above.

  • References

  • Please give complete name and address, including zip code, telephone number and email address of 3 personal references who are over the age of 18 and who are not related to or living at the same address as the applicant. Applications with incomplete or inappropriate references will be returned to the applicant.

    Please select one.

    Please select one.

    Please select one.

  • Additional Information

  • Please indicate which volunteer positions would interest you most:

  • My typed name above shall have the same force and effect as my written signature. I understand that there are dress codes and regulations, and I do hereby agree to accept and uphold the policies of Carroll Lutheran Village. I understand that completion of this application form does not guarantee acceptance into the volunteer program.
  • Please re-type the letters exactly as they appear. This is for security purposes only.