Central Missouri Honor Flight
KOMU-TV
5550 Highway 63 S
Columbia, MO 65201
United States
ph: (573) 301-5657
alt: (573) 882-8888
centralm
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CM Honor Flight would not be successful without the dedicated help provided by the volunteers. Assistance is required from office management and clerical support to airport assistance that aids the veterans both at the beginning and at the end of each trip. Please consider the wide range of opportunities; every little bit helps. For further information, please email Brenda Sutton at: sutton573@centurytel.net
Thank You for your support.
NAME______________________________________________________DATE: ____________________
ADDRESS:____________________________________________________________________________
CITY: _____________________________________ STATE: __________ ZIP CODE: __________________
PHONE: Day _________________________ Evening ____________________ Cell__________________
E-MAIL ADDRESS: ____________________________________ AGE: __________ DOB:______________
OCCUPATION: __________________________________________ARE YOU A VETERAN? ___ Yes ___ No
If a veteran, please indicate BRANCH of service, WHEN and WHERE did you serve: _____________________________________________________________________________________
1. How did you learn about the Honor Flight organization? _____________________________________
2. Why are you volunteering for Honor Flight? _______________________________________________
3. Please list any prior volunteer experience. ________________________________________________
4. There are several volunteer opportunities. Please indicate all areas of interest to you.
ADMINISTRATIVE SUPPORT OUTREACH
___ Administrative Assistance ___ Informational Booths
___ Speaker’s Bureau
SPECIAL EVENTS TRIP SUPPORT
___ Event Planning ___ Contact Veterans
___ Fundraisers ___ Ground Transportation in Departure City
___ Airport Check-In Assistance
___ Guardian (Completed separate application required.)
5. Please list the best times for you to volunteer.
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Morning ______ _______ _______ _________ _______ ______ _______
Afternoon ______ _______ _______ _________ _______ ______ _______
Evening ______ _______ _______ _________ _______ ______ _______
6. Please list two (2) personal references.
Name: _______________________________________________________________________________
Address: _______________________________________City/State/Zip: __________________________
E-Mail Address: _______________________________________________________________________
Phone Numbers: Day __________________ Evening ___________________ Cell ___________________
Relationship to applicant________________________________________________________________
Name: _______________________________________________________________________________
Address: _______________________________________City/State/Zip: __________________________
E-Mail Address: _______________________________________________________________________
Phone Numbers: Day __________________ Evening ___________________ Cell ___________________
Relationship to applicant________________________________________________________________
7. Emergency contact information:
Name: _______________________________________________________________________________
Address: _______________________________________City/State/Zip: __________________________
E-Mail Address: _______________________________________________________________________
Phone Numbers: Day __________________ Evening ___________________ Cell ___________________
Relationship to applicant________________________________________________________________
Please Review Carefully and Sign:
The undersigned acknowledges and agrees that:
1) As photographic and video equipment are frequently used to memorialize and document CM Honor Flight trips and events, his/her image may appear in a public forum, such as the media or a website, to acknowledge, promote, or advance the work of the CM Honor Flight program. I hereby release the photographer and CM Honor Flight from all claims and liability relating to said photographs. I hereby give permission for my images captured during CM Honor Flight activities through video, photo, or other media, to be used solely for the purposes of CM Honor Flight promotional material and publications, and waive any rights of compensation or ownership thereto.
2) I further state that medical insurance is the responsibility of the veteran and I understand that neither Honor Flight nor the provider of private aircraft ("Flight Provider") provides medical care. I understand that I accept all risks associated with travel and other Honor Flight Network activities and will not hold Honor Flight, the Flight Provider, or any person appearing or quoted in any advertisement or public service announcement for or on behalf of Honor Flight responsible for any injuries incurred by me while participating in the Honor Flight program.
SIGNED *: ___________________________________________________________DATE: ___/___/___
(E-mail applicants must sign prior to providing volunteer services)
* If under 18, parent/guardian must also sign and date below
___________________________________________________________________ DATE: ___/___/____
PARENT/GUARDIAN SIGNATURE
Please submit this form to: Central Missouri Honor Flight
Attn: Volunteer Application
c/o KOMU TV
5555 Highway 63 South
Columbia, MO 65201
Or e-mail to: centralmissourihonorflight@yahoo.com
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Central Missouri Honor Flight
KOMU-TV
5550 Highway 63 S
Columbia, MO 65201
United States
ph: (573) 301-5657
alt: (573) 882-8888
centralm