West Seattle Helpline Volunteer Application
Interested volunteers: please fill this form out completely. This application does not discriminate in securing volunteers on the basis of age, race, color, religious creed, national origin, sex, or ancestry; or on the basis of handicap or disability and any other characteristic required by law. No question on this form is intended to secure information to be used for such discrimination.
Email address *
Full Name: *
Your answer
Date of Birth:
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Current Address: *
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Primary Phone #: *
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Other Phone # (if applicable):
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Email Address: *
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Why are you interested in volunteering at West Seattle Helpline? *
Your answer
How did you hear about West Seattle Helpline?
Are you applying to fulfill a COMMUNITY SERVICE REQUIREMENT? *
Please list any related training, certifications, or background volunteer/work experience:
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Please mark your weekly availability below: *
Please note that potential shifts may vary from the hours designated below.
Required
I am interested in volunteering with: *
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Do you need any special accommodations or have any restrictions? Please specify here:
Note: Response will not affect eligibility to volunteer, will be used to ensure a compatible and enjoyable opportunity
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Do you speak any languages other than English conversationally?
In case of emergency, please contact: *
Include NAME, PHONE NUMBER, and RELATIONSHIP
Your answer
Please list at least one character reference and their contact information:
Include NAME, PHONE NUMBER, EMAIL ADDRESS, and RELATIONSHIP
Your answer
Please read the following confidentiality statement.
By entering your full name below, you agree to the terms of confidentiality upheld by the West Seattle Helpline and certify that the information contained in this application for volunteer service is true to the best of your knowledge. *
Please enter your full name.
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