Groups | Lexington Rescue Mission

Group Leader Contact Information

Name*

First Last

Phone*

Email*

Age Range of Group

Church/Organization

Church/Organization Address*

Street Address Address Line 2 City State ZIP Code

Group Name (this can be the name of your church, club, family name, whatever you like.)

Lexington Rescue Mission, Inc. Background Screening Consent

Legal Name*

First Middle Last

Maiden Name or Other Names Used*

Date of Birth*

Present Address

Street Address Address Line 2 City State ZIP Code

How Long at Present address*

Former Address

Street Address Address Line 2 City State ZIP Code

Agreement*

Lexington Rescue Mission may contact me for further personal information required for a background check

Signature of Applicant*

*NOTE: The above information is required for identification purposes only, and is in no manner used as qualifications for employment, or service as a volunteer. Lexington Rescue Mission abides by all applicable state and federal employment laws.

Date*

Volunteer Confidentiality Agreement

Volunteer Signature*

Date*

Lexington Rescue Mission Volunteer Handbook and Waiver

Review the Lexington Rescue Mission Volunteer Handbook

Volunteer Name*

First Last

Volunteer Signature*

Date*

Volunteer Application

For Groups

Group Leader Contact Information

Lexington Rescue Mission, Inc. Background Screening Consent

Volunteer Confidentiality Agreement

Lexington Rescue Mission Volunteer Handbook and Waiver

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