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 Date Format: MM slash DD slash YYYY Name First Last RESIDENCEAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail EMPLOYERCompanyTitle/PositionAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest 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/certificatesHow do you feel HCYP would benefit from your involvement with the group?Skills, 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 interestsPlease list any groups, organizations or businesses that you could serve as a liaison to on behalf of HCYP.Please tell us anything else you’d like to share.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, and send your completed form to Jillian Carter, director of advancement, at: Email: info@heritagechristianservices.org Mail: Heritage Christian Services Attn: HCS Professionals 275 Kenneth Drive, Suite 100 Rochester NY 14623