Your Name (required)

Street Address

City, State, and Zipcode

Home Phone

Work Phone

Your Email (required)

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

Name

Phone Number

Organization/Employer

Person to notify in case of an emergency

Name

Street Address

City,State, and Zipcode

Home Phone

Work Phone

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

[weforms id="1484"]