Wesley Housing Volunteer Application
WHDC is an equal opportunity employer and will not discriminate against any applicant or employee in recruitment, appointment, or service because of race, color, national origin, sex, age, religion, disability, marital status, veteran status, or any other characteristic or status protected by applicable federal, state, or local laws.
PERSONAL INFORMATION
Please fill out the following information to volunteer with us.
Title *
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Phone Number *
Email *
Group Affiliation (if applicable)
Gender *
Date of Birth (MM/DD/YYYY) *
What volunteer position(s) are you applying for? *
Are you currently employed or in school? *
Employer/Occupation or School/Major* (if applicable) *
Do you need documentation for community service hours (i.e. academic, workplace, pre-trial/court-ordered)? If so, please provide details: *
Do you have any limitations that would affect your mobility, communication, or ability to perform certain tasks? If yes, please explain. *
How did you hear about us? *
Would you like to receive Wesley Housing emails? *
EMERGENCY CONTACT INFORMATION
Name *
Phone Number *
Email
Relationship *
VOLUNTEER PREFERENCES & AVAILABILITY
I'm interested in volunteering at the following locations. Please select at least one:
Community Resource Centers (CRC) - Children & Families
Supportive Housing Communities - Older Adults/Persons with Disabilities
Main Office
Assignment Preference *
Required
Daily Availability: Mornings (9 a.m. - 12 p.m.)
Daily Availability: Afternoons (12 - 5 p.m.)
Daily Availability: Evenings (5 - 8 p.m.)
Please list any special skills, qualifications, languages, hobbies, or other related volunteer experiences. *
REFERENCES
Please list two people other than relatives whom would be willing to serve as personal references.
Reference #1 - name, phone number, relationship, number of years known *
Reference #2 - name, phone number, relationship, number of years known *
If the position requires use of your personal vehicle to perform duties (see position description), please list your vehicle insurance company and policy expiration date:
I certify that the facts contained herein are true and complete to the best of my knowledge and understand that if I volunteer for Wesley Housing Development Corporation or any of its properties, any misrepresentations, falsifications, or omissions shall be grounds for dismissal or refusal of volunteer service. I understand that a reference may be requested that will include information as to my character, work habits, performance, and experience. I hereby give consent for Wesley Housing to conduct a criminal background check if applicable for volunteer position(s). *
Under 18 applicants
Please upload document below with parent or guardian signature: http://bit.ly/2CE62h3
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