Volunteer Application
Maggie's Wigs 4 Kids of Michigan appreciates the support of great volunteers who donate their time, talent and treasure to assist our program. Please complete the application below with your information - we will follow up with you to schedule a time to volunteer.
First, Middle Initial & Last Name
*
First Name
Last Name
Date:
*
/
Month
/
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Driver's License #
*
Are you over 18 years of age? Yes/No
*
Emergency Contact
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Type of Volunteerism
*
Community Service Court-Ordered
Community Service School Requirement
General Volunteer
Gala Volunteer
Internship
Potential Employee
We conduct criminal background checks. Have you been convicted of a crime (anything other than a minor traffic violation) within the last 10 years?
*
Yes
No
If court-ordered, what is the nature of your offense & is it your first?
*
How many hours do you need and what date do you need them by?
*
Are there any felony charges pending against you?
*
Yes
No
Do you have your own transportation?
*
Yes
No
Education History
*
Current Employer
*
Volunteer History
*
What personal or professional skills, experiences or resources would you offer to us as a volunteer?
*
Volunteer Information
How did you find out about Maggie's Wigs 4 Kids of Michigan?
*
What do you expect from your volunteer experience?
*
What kind of time commitment can you make? Please list specific dates & times.
*
References
Please list three references complete with phone numbers. They can be from paid employment or volunteer work. Please do not list relatives (unless you are under the age of 18).
Reference #1 Name
*
Relationship
*
Reference #1 Phone Number
*
Please enter a valid phone number.
Reference #2 Name
*
Relationship
*
Reference #2 Phone
*
Please enter a valid phone number.
Reference #3 Name
*
Relationship
*
Reference #3 Phone
*
Please enter a valid phone number.
Volunteer Consent
I agree to have Maggie's Wigs 4 Kids of Michigan Wellness Center & Salon verify any information included on my application form; this may be done through a background check. Maggie's Wigs 4 Kids of Michigan may also conduct additional investigations as indicated. I hereby waive any rights to bring action for defamation, invasion of privacy, or any similar cause against Maggie's Wigs 4 Kids of Michigan. I understand that misrepresentation or omission of facts called for is cause for removal from the Volunteer Program.
Agreement
*
Yes
Volunteer Commitment
I agree to observe the following rules and regulations for the duration of my volunteer work at Maggie's Wigs 4 Kids of Michigan Wellness Center and Salon and after I have ended my association as a volunteer.
Agreement
*
Yes
Information Sharing Policy
No information regarding specific participants, i.e. names, addresses, etc., is to be divulged by me at any time for any reason except where required by policy and only under the directive of my supervisor. No information that could result in the misuse of Maggie's Wigs 4 Kids of Michigan program is to be divulged by me at any time for any reason.
Agreement
*
Yes
I acknowledge that I understand and agree to follow the above rules and regulations.
Volunteer Signature
*
If applicant is under 18 years of age, please provide parent/guardian signature giving permission for child/teen to volunteer with Maggie's Wigs 4 Kids of Michigan
Parent/Guardian Signature
*
Submit
Should be Empty: