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

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