iCan House Volunteer Form
Thank you for your interest in volunteering with iCan House. Please fill out the application. All volunteers are required to attend an initial training session and submit to a background check. You will be notified within a week about scheduling a training.
Full Name *
Your answer
How did you hear about iCan House? *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address (street/city/state/zip code) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
School and Grade Level (if applicable)
Your answer
Occupation and Employer (if applicable)
Your answer
Have you ever been convicted of a felony? If yes, please explain. *
Your answer
Do you have any prior experience working with persons who have developmental disabilities, such as autism, Asperger’s sydrome, PDD-NOS, or other social differences? If yes, please explain. *
Your answer
Do you have any special needs? If yes, please explain. *
Your answer
What are the top three things that you hope to gain personally from this volunteer experience with iCan House? *
Your answer
Please list any personal hobbies and interests *
Your answer
Which form(s) of volunteering would you be interested in? *
Required
If you just marked "specialized volunteer," what is your skill and how do you think it could help iCan House to fulfill our mission?
Your answer
Will you have the ability to get to and from iCan House? *
Do you grant iCan House permission to run a background check? *
I hereby state that to the extent of my knowledge, all of the provided responses are true and factual. Please type full name. *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of iCan House Services Inc.. Report Abuse - Terms of Service