Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Volunteer Position SoughtName *FirstLastEmail *Work Phone *Home Phone *Address 1 *Address 2 Select CountyMombasa2. Kwale3. Kilifi4. Tana River5. Lamu6. Taita/Taveta7. Garissa8. Wajir9. Mandera10. Marsabit11. Isiolo12. Meru13. Tharaka-Nithi14. Embu15. Kitui16. Machakos17. Makueni18. Nyandarua19. Nyeri20. Kirinyaga21. Murang'a22. Kiambu23. Turkana24. West Pokot25. Samburu26. Trans Nzoia27. Uasin Gishu28. Elgeyo/Marakwet29. Nandi30. Baringo31. Laikipia32. Nakuru33. Narok34. Kajiado35. Kericho36. Bomet37. Kakamega38. Vihiga39. Bungoma40. Busia41. Siaya42. Kisumu43. Homa Bay44. Migori45. Kisii46. Nyamira47. Nairobi CityFor Local VolunteersEnter CountryFor International VolunteersHighest Level of Education *Current Job Status (If Applicable)Date of Employment (starting)Date of Employment (ending)Address Would you like us to keep your employer abreast of your volunteer service and achievement?YesNoSKILLS & EXPERIENCEGroups, clubs, organizational membershipsPlease describe your prior volunteer experience (include organization names and dates of service)What experiences have you had that may prepare you to work as a volunteer in the field of [description of field, e.g., domestic violence, child abuse prevention, youth recreation, etc.]?Why do you want to volunteer? [Or, What do you want to gain from this volunteer experience?]Have you ever been convicted of a crime? [If yes, please explain the nature of the crime and the date of the conviction and disposition.] Conviction of a crime is not an automatic disqualification for volunteer work.Do you have a driver’s license?YesNoFor Kenyan-based Volunteers Only.Do you have car insurance?YesNoFor Kenyan-based Volunteers Only.Do you have a car available for transporting others?YesNoFor Kenyan-based Volunteers Only.References *Please list three people who know you well and can attest to your character, skills, and dependability. Include your current or last employer.Terms and Agreement *I understand and agree to the terms.Please read the following carefully before signing this application: I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with Acres of Mercy, Kenya that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information contained on my application will be verified by Acres of Mercy. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with Acres of Mercy, Kenya or my termination as a volunteer. SignatureEnter Current Date *Submit