Compass Center Volunteer Application
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Cell Phone
555-555-5555
Your answer
Other Phone
555-555-5555
Your answer
Personal Email *
Your answer
Work Email
Your answer
Recruitment Type
Interested In *
Required
Volunteer Role *
Required
Languages Spoken and Ability
Employment Status
Expected Graduation Date (if applicable)
MM
/
DD
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YYYY
Other Skills and Interests
Emergency Contact Name: First
Your answer
Emergency Contact Name: Last
Your answer
Emergency Contact Relationship
Your answer
Emergency Contact Phone
555-555-5555
Your answer
Your Date of Birth
MM
/
DD
/
YYYY
Your Gender
We recognize that the list below is not an exhaustive list of possible gender identities.
Pronouns
Please let us know what pronouns you would like us to use for you (she, he, ze, they, etc.).
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Primary Address: Line 1
Your answer
Primary Address: Line 2
Your answer
Secondary Address: Line 1
Your answer
Secondary Address: Line 2
Your answer
Is there any assistance you would need due to a disability?
If you answered yes, please explain.
Your answer
How did you hear about volunteering at Compass Center?
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What relevant background do you bring, either personal or professional, that would be useful as a Compass Center volunteer? *
Your answer
What do you hope to gain from this volunteer experience?
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Have you ever been convicted of a crime (other than a traffic violation) or received a verdict of anything other than "not guilty" in any criminal investigation for which the records have not been expunged or sealed (such conviction does not automatically disqualify you from volunteering)?
If yes, please describe the nature, date, location, and final disposition of the criminal case below:
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Reference 1: Name, Relationships, Email, Phone
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Reference 2: Name, Relationships, Email, Phone
Your answer
Reference 3: Name, Relationships, Email, Phone
Your answer
Would you like to be added to our e-newsletter?
I do hereby authorize Compass Center for Women and Families to verify any representations made by me, whether oral or written, concerning my application for the position of volunteer or intern. I understand that Compass Center may contact individuals or organizations other than those I have provided as reference for other information that may be pertinent to my applications for this position. If I am applying as an intern, I understand that, if accepted, my internship will be unpaid. (Please e-sign your name below.)
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