Union Settlement Volunteer Application
Completed applications are submitted to the Volunteer Office. If you have any questions, please contact Kayla Duffy at kduffy@unionsettlement.org.
First and Last Name *
Your answer
Address (Street, Apt, City, State, Zip Code) *
Your answer
Email Address *
Your answer
Date of Birth *
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DD
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YYYY
Phone Number *
Your answer
School and Graduating Year (If not a student, put N/A.) *
Your answer
Please list the name and phone number of an Emergency Contact and how the person knows you. *
Your answer
How did you hear about Union Settlement?
Your answer
Do you speak any other languages besides English? *
If yes, please let us know which ones you can speak. *
Required
Have you ever volunteered for Union Settlement before? *
If yes, what year and for what program? (If you chose no, write N/A.) *
Your answer
Will you need a community service letter at the end of your volunteer placement? *
Do you have any physical limitations? (i.e. chronic back pain, poor vision, etc.) *
Your answer
Have you ever been convicted of any offense other than a minor traffic violation? (Please note that select programs require a background check and fingerprinting.) *
If yes, please explain. If you marked no, please write N/A. *
Your answer
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