Individual Volunteer Application - Volunteers of America, Utah
Unfortunately, Volunteers of America, Utah is not able to validate court-appointed volunteer hours.
Email address *
Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Primary Phone *
Your answer
Secondary Phone
Your answer
Gender *
Age *
Your answer
How did you hear about our agency? *
Your answer
Have you volunteered with Volunteers of America, Utah previously? *
Are you a US Citizen? *
Have you been convicted of a felony in the past 5 years? *
If yes to previous question, please explain
Your answer
If you have a disability, what accommodations would you need to volunteer?
Your answer
In case of Emergency please notify: (name, phone, address, relationship) *
Your answer
Employer *
Your answer
Occupation *
Your answer
Does you employer support the community through any of the following? *
Required
Please provide 3 references (Name, Relationship, Phone) *
Your answer
Have you completed high school? *
Did you attend college? *
If you attended college, please list where you attended, your area of study, and the degree(s) awarded
Your answer
If you have previously volunteered elsewhere, please list where you volunteered and what you did
Your answer
Which program or activity do you desire to volunteer with? *
Your answer
Days and times you are available to volunteer *
10am - noon
Noon - 2pm
2pm - 4pm
3pm - 5pm
Any
Not available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Is there a specific date or time frame during which you want to volunteer? Please be as specific as possible.
Your answer
How frequently would you like to volunteer? *
How long are you intending to volunteer? *
Want to stay in the loop with us via email? *
A copy of your responses will be emailed to the address you provided.
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