Volunteer Application
You must be over 18 years of age.
Email address *
El Dorado Veteran Resources Center
Name *
First and last name
Your answer
Address (City, State, Zip)
Your answer
Mobile/Phone/Other number: *
Your answer
Emergency Contact Name and Telephone: *
Your answer
Certifications or Special Skills
Your answer
Have you ever been convicted of a misdemeanor? *
If yes, describe:
Your answer
Have you ever been convicted of a felony? *
If yes, describe:
Your answer
Interested areas (check all that apply) *
Required
If interested in helping with transportation, please provide the following additional information: Driver's License #, Expiration Date; Insurance Company Name, Address, Policy #, and License Plate #
Your answer
Shifts available: Monday - Friday 8:00am - 4:00pm, closed on all county observed holidays. Shifts available are AM (8am-12pm) or PM (12pm-4pm)
Current/Past Employer or Volunteer Experience (Organization/Business Name, Address, Date(s) of Employment/Involvement, Supervisor Name, Telephone) *
Your answer
Current/Past Employer or Volunteer Experience (Organization/Business Name, Address, Date(s) of Employment/Involvement, Supervisor Name, Telephone)
Your answer
By typing my name I certify that the above information is accurate to the best of my knowledge, completion of this application does not guarantee acceptance to the program. (Please type your full name) *
Your answer
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