Contact Us
Your Name (required)
Your Email (required)
Subject
Your Message
Street Address
City, State, and Zipcode
Home Phone
Work Phone
During which hours are you available for volunteer assignments
Weekday MorningsWeekday AfternoonsWeekday EveningsWeekending MorningsWeekend AfternoonsWeekend Evenings
Tell us in which areas you are interested in volunteering
Sorting DonationsEvent PlanningDistributing FlyersFundraisingDeliveriesStore MaintenanceWebsite UpdatesVolunteer Coordination
Special Skills or Qualifications
Summarize special skills and qualifications you have aquired from employment, previous volunteer work, or through other activities, including hobbies or sports.
Previous Volunteer Experience
Summarize your previous volunteer experience.
References
Please provide two references from previous employment or volunteer service
Name
Phone Number
Organization/Employer
Person to notify in case of an emergency
City,State, and Zipcode
Email Address
Have you ever been charged with a misdemeanor or felony? If yes, please explain details below.
Are you completing community service to meet a court-ordered requirement? If yes, please explain below.
Do you have a valid Drivers License? Please provide DL# and state.
Our Policy of this organization is to provide equal opportunities without regard for race, color, religion, national origin, gender, sexual preference, age, or disability.
Thank you for completing this application form and for your interest in volunteering with us.
Agreement and Signature
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 volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Signature
Date
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