Volunteer Application

red * color - denotes required fields
Name: *
Address: *
City: *
State: *
Zip Code: *
Home Phone: *
Work Phone:
Cell Phone:
Email Address: *
Have you been convicted of a felony within the past five years?
If yes, please explain::
Are you a student?
If yes, what school do you attend?
If yes, what grade or year are you in?
Have you done volunteer work at another nonprofit?
If yes, where and what did you do?
What type of work would you like to do here:
List any hobbies, or interests:
What skills, training, or knowledge do you wish to utilize here?
Why do you want to volunteer here? *
Where did you hear about our volunteer program?
When would you be able to start? *
Which Shifts would you be available to volunteer? *
How many shifts per month do you prefer?
Comments concerning your availability:
If you have a disability, what accommodation would you need to do this volunteer position:
Please provide 3 personal or professional references: *
NamePhone NumberRelationship
In case of emergency, please contact: *
Phone (Work):
Phone (Home):
Medical information we should be aware of in an emergency (allergies, special medications, &/or conditions):