Peace Volunteer Application
Thank you for your interest in volunteering at Peace Community Center! We have a variety of opportunities to get involved and look forward to learning more about you.

Contact us at with any questions!
Email *
Last Name: *
First Name & Middle Initial: *
Birthday *
Are you a Veteran? *
Street Address *
(Current mailing address)
City *
(Current mailing address)
Zip Code *
(Current mailing address)
Main Phone *
Other Phone
Emergency Contact Name and Relationship: *
Emergency Contact Phone Number(s): *
What opportunities are you interested in? *
Please list any academic subject area expertise?
Please list any skill sets you may have that can support the growth and learning of students?
I understand that I will be responsible for attending an annual Volunteer Orientation and passing a Federal Background Check prior to my service at Peace Community Center *
Reference Name & Contact Information *
Please include the contact information for two reference that can speak about you and your values and/or experience with youth. If you have served as a volunteer in our program before, please list a current staff member that can speak to your work.
How did you hear about Peace's volunteer or internship opportunities?
Please list details of who you heard about the opportunity in "other."
What days of the week are you most interested to serve? *
Do you have any other relationship to Peace *
Read Carefully Before Signing [Full Name]
I certify that the answers given by me to all questions on this application are, to the best of my knowledge and belief, true and correct. I hereby consent to permit Peace Community Center to contact anyone it deems appropriate to do a background check or verify any information provided by me on this form. I understand that any omission or misrepresentation of fact in this application may impact my placement as a volunteer.
A copy of your responses will be emailed to the address you provided.
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