Volunteer Form

Community Volunteer Form

Confidential Personal Information
This form must be completed by volunteers with We Grow Dreams. All information forms will be held in limited access by We Grow Dreams. The absolute minimal necessary information may be shared with staff in order to provide coordination of services. This form will be retained by We Grow Dreams until it is destroyed.
Name

First NameLast Name
Age
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Home Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Emergency Contact Name

First NameLast Name
Relationship
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Phone Number

Area CodePhone Number
Team Member you are representing
Times Available
Please indicate any areas of expertise or interest you have.
Do you work for an organization that might have an interest in supporting We Grow Dreams in some manner?
PLEASE READ BEFORE SIGNING:

I understand that:

- The information that I have provided may be verified, and I give permission to We Grow Dreams, Inc. to complete a criminal background screening.

- In the course of volunteering for We Grow Dreams, Inc., I may be dealing with confidential information and I agree to keep said information in the strictest confidence.

- I grant We Grow Dreams, Inc. to use my likeness, voice, and words in television, radio, film or any form to promote activities of We Grow Dreams, Inc.

- I will notify We Grow Dreams, Inc., of all changes to the information provided on this original form.

I affirm, under penalty of perjury, that I have read the above and that the information I have given is true and complete.
Signature
Date

MonthDayYear
Date
Should be Empty:

Community Volunteer Form