Solutions Volunteer Application
Thank you for your interest in being a volunteer at Solutions Recovery Club! Below you will find the Counter Volunteer Application. Please note the fields marked with a * are required. Applications must be complete to be considered. If you have any questions, please contact the volunteer coordinator. Counter volunteers are approved on a case by case basis, and generally require 3 months of sober/clean time.
Email address *
Your First and Last Name *
Your answer
Middle Initial *
Your answer
Your Phone Number *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sobriety Date *
MM
/
DD
/
YYYY
Current Street Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
What time of day are you available.
What are you interested in doing at the club?
Special Skills or Qualifications(summarize specials skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies and sports)
Your answer
Electronic Signature
By using my electronic signature below, I hereby certify that all information contained in this application is correct to the best of my knowledge. I also consent to a formal background check performed by Solutions Recovery Club staff to assess my suitability for a volunteer position.
Please type your full name for an electronic signature. *
Your answer
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