Central Missouri Honor Flight

CENTRAL MISSOURI HONOR FLIGHT

VOLUNTEER APPLICATION

 

 

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

 

	For office use only:   Date Received:_______________________ Time:_______________________