LifeLine CDC Volunteer Application
Skills and Interests
Hobbies, Interests, Skills:
Previous Volunteer Experience:
Why do you want to volunteer with this organization?
Is there a particular type of volunteer work in which you are interested?
Is there a person or group with whom you are particularly interested in working? (Choose all that apply)
Are there any groups you would not feel comfortable working with?
At what times are you interested in volunteering? (Circle all that apply)
Morning (9.a.m. to noon)
Afternoon ( noon to 4 p.m.)
Evening (4 to 8 p.m.)
Do you have a geography preference as to where you do volunteer work?
Do you have access to an automobile you can use for volunteer work?
How did you hear from us?
List name addresses and phone/email of three non-family members who can provide reference on your ability to perform this volunteer position.
May we have your permission to contact the above named references, and perform any other screening measures, such as, medical exam, driver’s record, and/or police check?
Thank you for using your gifts, passions and dreams to further the cause of empowering neighborhoods.
For the protection of our community, we will do background checks on all supervisory roles.
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