Join Us Volunteer Application Personal InformationFirst Name*Middle Name*Last Name*Have you been known by any other names (aliases)?First NameMiddle NameLast Name Gender*MaleFemaleSSN*Birthday* Driver's License NumberDriver's License StateDriver's License State*ALABAMAALASKAAMERICAN SAMOAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFEDERATED STATES OF MICRONESIAFLORIDAGEORGIAGUAM GUHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARSHALL ISLANDSMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTANORTHERN MARIANA ISLANDSOHIOOKLAHOMAOREGONPALAUPENNSYLVANIAPUERTO RICORHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGIN ISLANDSVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMINGARMED FORCES AFRICA \ CANADA \ EUROPE \ MIDDLE EASTARMED FORCES AMERICA (EXCEPT CANADA)ARMED FORCES PACIFICContact InformationEmail Address* Phone Number*Phone Agree I give permission for SEEK to contact me by text message regarding announcements or reminders concerning my volunteer commitment with SEEK. Street Address* Street Address Address Line 2 City State State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code List all addresses in which you have lived in the last 7 years:If you lived overseas, please fill in as much as possible corresponding to your place of residence, included the approximate month (MM) year (YYYY) from which you lived there until when you moved.Street AddressCityStateZIPFrom When (MM/YYYY)To When (MM/YYYY) Service Member TrainingIn order to serve with Seek the Peace, attendance to our training sessions is required. Trainings are held every quarter and include both an Introduction to the Global Refugee Crisis, Seek the Peace Programs as well as our peacemaking practice paradigm. There is a $45 fee associated with the training, which includes the training fee, lunch provided at the training as well as a background check. If you are unable to attend the dates listed, please contact us at [email protected] for other possible opportunities. For more info on this training see the Events page.Training Date RSVPJanuary 6, 2018 9:00am - 2:00pmApril 7, 2018 9:00am - 2:00pmJuly 7, 2018 9:00am - 2:00pmOctober 6, 2018 9:00am - 2:00pmVolunteer Program* Reading Circle Project Shine Reading Circle OrientationAll Reading Circle volunteers must also attend a Reading Circle Orientation. If you are unable to attend the dates listed, please contact us at [email protected] for other possible opportunities. For more info on this training see the Events Reading Circle Trainings are held from 6:30 pm - 8:30 pm at the SEEK Office unless noted otherwise.Reading Circle Training RSVPOctober 26, 2017 6:30pm - 8:30pmPartner AffiliationsUniversityUniversity..DBUSMUUNTUTDSchoolSchool...Jesuit College Prep of DallasUrsuline Academy of DallasReligious OrganizationReligious Organization...Christ City ChurchGrace Bible ChurchHidden Acres CampLake PointeNormandy Community ChurchNorthwest Bible ChurchThe HeightsThe LoftTrinityTVC - DallasTVC - DentonTVC - FMTVC - PlanoEmergency Contact InformationEmergency Full Name*Relationship*Emergency Email Address* Emergency Phone Number*Seek The Peace Newsletter & UpdatesNewsletter Request*Would you like to receive emails concerning Seek the Peace news & volunteer opportunities?YesNoTerms of AgreementBackground Check Information I certify that the information in this Volunteer Application is true, correct and complete to the best of my knowledge. I authorize Seek the Peace, Inc. to verify any and all information I provided by contacting appropriate sources. I understand that for the protection of visitors, volunteers and staff, all adults (age 18 and up) must voluntarily authorize a background check and I hereby authorize such background check. Waiver and Release of Liability In consideration of being allowed to volunteer my services with Seek the Peace, Inc., I hereby acknowledge that there are certain risks of injury involved, and I knowingly and freely assume all such risks and assume full responsibility for my participation. To the extent allowed by law, I agree to indemnify and hold harmless Seek the Peace, Inc., its officers, employees, agents, representatives and volunteers, of all liabilities and all loss or damage to person or property which may occur or be incident to my involvement or participation. Volunteer Confidentiality Agreement I recognize that as a volunteer of Seek the Peace Inc. (Seek), a Texas non-profit corporation, I may have access to confidential information concerning Seek, its guests, customers, agents, employees, volunteers or representatives. In consideration of any volunteer status with Seek, I agree I will not at any time, during or after volunteering for Seek, divulge or reveal to any person, firm, or corporation, any information (including, but not limited to, personal or financial information or customer lists), directly or indirectly, which might in any way be used to injure or interfere with the business or ministry of Seek, or to alienate guests, customers, agents, employees, volunteers or representatives from Seek or to cause discontent or dissatisfaction among any such persons. I agree that should I have any questions as to the propriety of release of any information, I will request clearance from Seek prior to releasing such information. Information Sharing Policy Seek the Peace may share your personal data as required by law, in a manner of public safety or policy, or as needed in connection with the transfer of other business assets. In compliance with U.S. law, we do not share information with any unaffiliated third parties for marketing purposes unless you expressly ask us to. We do share information with related agencies which we do work. However, we will not share your information outside of our company and our affiliated companies or agencies. BY CHECKING THE FOLLOWING "I AGREE" BOX, I UNDERSTAND THAT I AM INDICATING MY AGREEMENT WITH THE TERMS OF ALL FOUR PRECEDING SECTIONS.Agree* I Agree Training and Background Check Fee: $45.00Training PriceSeek the Peace Training*Total Price $0.00 SEEK Training Payment* American ExpressDiscoverMasterCardVisaJCBMaestro Card Number Expiration Date Month*010203040506070809101112 Year*20172018201920202021202220232024202520262027202820292030203120322033203420352036 Security Code Cardholder Name Full NamePhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.