VOLUNTEER
Email address *
FULL NAME *
Your answer
ADDRESS *
Your answer
CITY *
Your answer
STATE *
Your answer
ZIP CODE *
Your answer
TELEPHONE NUMBER *
Your answer
Are you 18 years or older? *
Date of Birth *
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What area would you like to volunteer in?
If you chose other, please explain
Your answer
Other organizations to which you have provided volunteer services
Your answer
What do you hope to gain from volunteering?
Your answer
Are you certified in: (please select all that apply) *
Required
You may be asked to show proof of up to date certification.
TO BE COMPLETED BY ALL APPLICANTS
Have you ever been convicted of any criminal offense other than the following? Minor traffic violation fine of $500.00 or less; or offenses settled in juvenile court, or under welfare youth offender law. *
If yes, please explain
Your answer
Emergency contact information. (please enter full name and phone number) *
Your answer
Agreement, Signature, and our Policy
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a team member, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I also understand that by signing this, I acknowledge that I will be held to the organizations Code of Conduct.
Full name (for online applications this will work as your signature) *
Your answer
Date *
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Submit
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