Volunteer Application/Information
Name*:
Address:
Address (cont):
City, State:
Zip:
Phone(H)*:
Phone(W):
Fax:
E-mail*:
Date of Birth:
Driver's License# or ID#:
Current occupation
* required
Availability:
Weekdays
Weekends
Mornings
Afternoons
For how long can you make a commitment
3 months
6 months
Other:
Have you ever been convicted of a crime?
Yes
No
Explain if Yes
Do you have a communicable disease?
Yes
No
Explain if Yes
What would you like to learn/gain from your volunteer experience?
Give the name, address and telephone numbers of three references who are not related to you.
1.
2.
3.
Areas of Work/Positions Available
Food Recorder
Clothing Bank
Child Care
Other Clerical
Food Pantry
Lunch Cook
Food Server
Lawn Maint
Data Entry
Receptionist
Driver
Garden
Intake Worker
Maintenance
Other:
Special Skills/Training/Resources - that you could SHARE
Languages
Carpentry
Vehicle
Painting
Writing
Word Processing
Electrial
Driving
Babysitting
Data Entry
P.R. Work
Plumbing
Shopping
Other:
