Victory Church

Prison Ministry Volunteer Application

We are excited that you have chosen to explore prison/jail ministry here at Victory. Completing this application will help us get to know you better. The ministry staff will review your application carefully and prayerfully. We would like to know what God is doing in your life, your present involvement in church, and how you see yourself being used in this ministry. An interview will also be scheduled in this process.

Once approved an orientation and training seminar will be scheduled at the Polk County Jail. These orientation seminars are offered once a month and are a requirement to receive your badge allowing access to inmate areas. You will need to bring with you a Pastor’s Letter of Recommendation and current Driver’s License or State issued photo ID.

1 Personal info

2 Family info

3 Employment info

4 Criminal Background info

5 Church info

6 References

Gender *
Male Female
Volunteer name * First Last
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone number (primary contact) * ### - ### - ####
Email
Date of birth * MM / DD / YYYY
Drivers license # *
Drivers license State of issue
1 / 6
Do Not Fill This Out