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2022-06-24T20:18:50+00:00
Volunteer
We are so proud to know you are interested in volunteering with us! Please fill out the form below and a representative will reach out to you.
Volunteer Form
Personal Contact Information
Date
MM slash DD slash YYYY
Name
First
Middle Initial
Last
Currennt Address
Street Address
Apartment / Unit #
City
State / Province / Region
ZIP / Postal Code
Home Phone
Cell
Email
Emergency Contact Information
Currennt Address
Street Address
Apartment / Unit #
City
State / Province / Region
ZIP / Postal Code
Home Phone
Cell
Email
Education
Employment History (Current Employer or previously retired from, if applicable)
Does your employer or school have an Employee Volunteer Incentive Program?
Yes
No
Would you like us to keep your employer or school abreast of your volunteer service and achievement?
Yes
No
Special training, skills, hobbies:
How did you learn about this program?
Groups, clubs, organizational membership’s
Do you currently attend Church? If so, where and when? Pastors Name?
Do you have any medical and/or physical conditions that may prevent you from volunteering?
Do you have any allergies or special considerations?
Do you foresee any changes in your availability?
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 and automatic disqualification for volunteer work.
Do you have a Driver’s License?
Yes
No
Do you have a Driver’s Abstract?
Yes
No
Do you have access to a vehicle?
Yes
No
Do you have access to alternate transportation?
Yes
No
References
Please list 3 people who know you well and can attest to your character, skills, and dependability. Include your current or last employer.
Name/Organization
Relationship to You
Phone
Length of Relationship
Name/Organization
Relationship to You
Phone
Length of Relationship
Name/Organization
Relationship to You
Phone
Length of Relationship
We protect your personal information and adhere to all legislative requirements with respect to privacy. We do no rent, sell or trade or lists of volunteers. We use your personal information to keep informed and up to date activities of the organization and its specific programs including, but not limited to; opportunities to volunteer, upcoming events, educational opportunities, and seasonal greeting. Required information to be obtained; when it is applicable to the job description being performed by the volunteer. - Criminal Record Check - Driver’s License Class - Drivers Abstract - Agreement to Organizations Policies - Confidentiality Agreement - Liability Waiver - First Aid Certification Level - Medical Examination - Food Safe - Serving it Right By submitting this form, you give permission to verify the credentials that have been presented.
I Agree
(Required)
I Agree
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 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. I understand that misrepresentations or omissions may cause for my immediate rejection as an applicant for a volunteer position or my termination as a volunteer.
I Agree
(Required)
I Agree
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