Adult Volunteer & Intern Application
Walker's Point Youth & Family Center
The Basics
Name *
(first & last)
Your answer
Preferred gender pronoun *
(she, he, they, ze, etc.)
Your answer
Phone number *
(with area code)
Your answer
E-mail address *
Your answer
Permanent address *
(Street, City, State, Zip)
Your answer
Local address (if different)
(Street, City, State, Zip)
Your answer
We serve a diverse population and are a diverse staff and volunteer team. Are you comfortable working in an affirming, supportive, and respectful manner with our clients, staff, and other volunteers in regard to their sexual orientation, gender identity or expression, sex, national origin or citizenship status, ancestry, race, color, religion, pregnancy, marital or parental status, disability, and/or socioeconomic status? *
Are you willing to complete state and/or national criminal background checks, required by our licensing, and to disclose any convictions of a crime, any pending criminal charges, and/or any findings by a governmental agency of abuse or neglect, as part of the application process? *
Please be aware that the following convictions, pending charges, or findings by a governmental agency bar volunteering with us in this capacity: www.dcf.wisconsin.gov/files/cwlicensing/pdf/cwbarredcrimes.pdf (clicking on this link will open it in a separate tab or window).
Scholastics
Highest Level of Education Completed *
School/College *
(attending currently or most recently attended)
Your answer
College major or degree
(if applicable)
Your answer
Fluency in languages besides English
(if applicable)
Your answer
Questions
Please answer the following questions.
How did you find out about Walker’s Point Youth & Family Center? *
Your answer
What interests you about this position? What kind of experience are you most interested in obtaining as a volunteer at Walker’s Point Youth & Family Center? *
Your answer
What is your past volunteer, service, and/or work experience? Please highlight leadership and relevant experience to this position, as applicable. *
Your answer
What are some of your interests, skills, extracurricular activities, hobbies, or anything else that you are passionate about or would like us to know? *
Your answer
Please describe any special needs or accommodations:
Your answer
In Case of Emergency
Please contact:
Name: *
Your answer
Relationship to you: *
Your answer
Phone number: *
Your answer
Address: *
(Street, City, State, Zip)
Your answer
References
Please list the contact information of three professional references (e.g. past or current: supervisors of volunteer or paid positions, teachers, advisors, coaches, or other people who have played a mentoring role in your life, apart from family members) whom you authorize to release any information pertaining to your suitability for volunteering.
Reference #1 *
Name:
Your answer
*
Relationship to you:
Your answer
*
Phone number
Your answer
*
E-mail address:
Your answer
*
Address:
Your answer
Reference #2 *
Name:
Your answer
*
Relationship to you:
Your answer
*
Phone number:
Your answer
*
E-mail address:
Your answer
*
Address:
Your answer
Reference #3 *
Name:
Your answer
*
Relationship to you:
Your answer
*
Phone number:
Your answer
*
E-mail address:
Your answer
*
Address:
Your answer
Availability
When are you interested in starting to volunteer with us? *
Please check all of the times below during which you would be available to volunteer weekly. If the shift options below don't match exactly with your availability, please check the options that are closest to your actual availability.
Please keep in mind that you must be available for at least one shift per week and don't forget to account for commuting time to the shelter location: 732 South 21st Street, Milwaukee, WI 53204.
Monday *
Required
Tuesday *
Required
Wednesday *
Required
Thursday *
Required
Friday *
Required
Saturday *
Required
Sunday *
Required
Scheduling Preferences
Please indicate any preferred shifts below.
1st choice of shift(s)
Day(s) and/or time(s)
Your answer
2nd choice of shift(s)
Day(s) and/or time(s)
Your answer
3rd choice of shift(s)
Day(s) and/or time(s)
Your answer
Do you need to complete a certain number of hours by a specific date (e.g. for a student internship)?
If yes, please indicate the number of hours and date by which they must be completed below.
Total number of hours:
Your answer
Date by which they must be completed:
MM
/
DD
/
YYYY
Electronic Signatures
On occasion, audiovisual or other documentation of materials may be taken of activities sponsored by Walker’s Point Youth & Family Center. By typing my name below, I give Walker’s Point Youth & Family Center permission to use my name, likeness, image, voice, quotes, and/or appearance that may be embodied in any pictures, writings, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of Walker’s Point Youth & Family Center. *
Your answer
By typing my name below, I certify that all information provided as a part of this application is true and correct without consequential omissions. I agree that Walker’s Point Youth & Family Center shall not be liable in any respect if my position is terminated because of false statements, answers, or omissions made by me in the information provided for this application. *
Your answer
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