Northwest Arkansas Women's Shelter Volunteer Application
All information in this application will be kept strictly confidential and shall be used only in the administration of our services.
First and Last Name: *
Your answer
Email Address: *
Your answer
Mailing Address: *
Your answer
Primary Contact Number: *
Your answer
Secondary Contact Number:
Your answer
In Case of Emergency Please Contact (Name/Relationship): *
Your answer
In Case of Emergency Please Contact (Number): *
Your answer
Current Employer and Occupation: *
Your answer
Education (Degree, if applicable): *
Your answer
Have you ever been convicted of a felony? *
List of Prior Volunteer Activity: *
Your answer
Hobbies: *
Your answer
Special Skills, Foreign Languages, etc: *
Your answer
What volunteer opportunity are you interested in? Check all that apply. *
Required
PLEASE NOTE
If you selected Direct Client Services, Administrative, Donation Pick-Up or if you would like to volunteer in-shelter, please follow the Child Maltreatment Check and Background Check links located at the top of page.

Please return both forms to Antonella Kinder at akinder@nwaws.org as soon as possible. Your application is not complete until both forms have been filled out and returned.

How did you hear about NWAWS? *
Your answer
Briefly explain why you want to volunteer at NWAWS? *
Your answer
Are you volunteering as part of a school volunteer program? *
If yes, which school program?
Your answer
Are you volunteering to fulfill volunteer requirements for school or work? *
If yes, how many hours are required?
Your answer
Do you have your own method of transportation? *
What type of vehicle do you drive? *
Your answer
Would you be willing to use your vehicle for NWAWS volunteer activities (transporting clients, hauling equipment, picking up donations, etc.)? *
Do you have the basic auto liability coverage required by the State of Arkansas and can you provide this proof of insurance upon request? *
Reference 1 (Name, Relation, Phone, E-mail) *
Your answer
Reference 2 (Name, Relation, Phone, E-mail) *
Your answer
Would you like to opt-in for our newsletter? *
Please indicate your availability during the week and your preferred times to volunteer (Mon/Tues/Wed/Thurs/Fri/Sat/Sun) (Morning 8am-12pm/Afternoon 12pm-5pm/Evening 5pm-9pm) *
Your answer
Volunteer Waiver and Release of Liability
I hereby fully and forever waive, release and relinquish any and all claims, demands and actions whatsoever that I may have against the Northwest Arkansas Women's Shelter, it's officers, agents, volunteers and employees, arising out of my volunteer activities.
Volunteer Statement of Confidentiality
I understand that any information I learn while at the shelter will be confidential between NWAWS and me. I agree to keep the Women's Shelter location and address confidential. I will not reveal any information regarding residents or NWAWS personnel/volunteers that I will see while at the Shelter or Thrift Store.
I have read the Volunteer Waiver and Release of Liability and Volunteer Statement of Confidentiality and agree to them. *
I certify that I am at least eighteen (18) years of age. *
If you are not at least eighteen (18) years of age, please contact Antonella Kinder, Volunteer & In-Kind Coordinator, at akinder@nwaws.org.
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