Become a Volunteer

Volunteer Application

* Indicates required field

Date of Application *

Volunteer Position Sought *

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Education

Highest Level of Education *

Employment

Current Employer, if applicable *

Position/Title *

Dates of Employment (starting, ending) *

Employer Address *

Would you like us to keep your employer abreast of your volunteer service and achievement? *

No Yes

Special skills, training and hobbies *

Groups, clubs and organizational memberships *

Please 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 *

Why do you want to volunteer? *

Have you ever been convicted of a crime? (If yes, please explain the nature of the crime and the date of conviction and disposition.) Conviction of a crime is not automatic disqualification for volunteer work. *

Do you have a drivers license? *

Yes No

Do you have car insurance? *

Yes No

REFERENCES: Please list three people who know you well and can attest to your character, skills and dependability (NOT family members). Include your current or last employer.

1. Name *

Organization *

Relationship to You *

Phone *

Length of Relationship *

2. Name *

Organization *

Relationship to You *

Phone *

Length of Relationship *

#3. Name *

Organization *

Relationship to You *

Phone *

Length of Relationship *

EMERGENCY CONTACT INFORMATION

Name *

First

Last

Phone Number *

Submit