Heritage Christian Professional Member Application Home > Learn About Volunteering > Heritage Christian Professional Member Application A A A Please complete and submit the application below. Thank you very much for your interest. You'll hear from us soon! Date MM slash DD slash YYYY Name First Last RESIDENCEAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail EMPLOYERCompany Title/Position Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Type of business or organization: Primary service(s) and area/population served: Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social). Organization, Role/Title, Dates of ServicePlease let us know where you received your education/training/certificatesSkills, experience and interests (Please check all that apply) Finance, accounting Personnel, human resources Administration, management Nonprofit experience Community service Public relations, communications Photography Education, instruction Special events Grant writing Fundraising Outreach, advocacy Other Skills, experience and interests Is there a specific committee you would like to serve on? Finger Lakes Extravaganza Committee Spaghetti Dinner & Basket Raffle Committee Boots & Barrels Committee Golf Committee Heritage Hero Committee Model Release: I understand when attending Heritage Christian Services (and Heritage Christian Young Professional) events, photography and video recording may occur. By entering the event premises, you consent to photography and video recording and its/their release, publication or reproduction to be used for news, promotional purposes, advertising, inclusion on websites, or any other purpose by Heritage Christian Services (HCS). You release HCS, its affiliates, officers, employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication of photographs, computer images, and/or video.CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Download application as PDF If you prefer, please download and complete the Heritage Christian Professionals Membership Application. Email: info@heritagechristianservices.org Mail: Heritage Christian Services Attn: Volunteer Coordinator – HCP 275 Kenneth Drive, Suite 100 Rochester NY 14623