Volunteer Application

Volunteer Application

Volunteer Application For Embracing Abilities Inc.
Volunteers must be 16 years of age or older. Do you meet this requirement?*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Please select the highest level of education you have completed.*

Some High SchoolHigh School GraduateSome collegeAssociate's DegreeBachelor's DegreeGraduate Degree
What interested you about this volunteer position?*
Please describe any work or volunteer experience you have. *
What are your personal goals for this experience?*
Do you have experience working with children or adults with intellectual or developmental disabilities? If so, please describe.*
What would you like to know about our program?
Health: (Describe any limitations which could interfere with your performance):
Areas of Interest*

Administrative/ClericalMusicTechnologyArts/CraftsSportsCustomer Service
Availability-- Please list all avaliable days.*

MondayTuesdayWednesdayThursdayFriday
Please list 2 references below. Please list name, phone, email and relationship. *Please provide references that are not related to you. *
I authorize my references to provide information to Embracing Abilities that is relevant to my volunteer experience.
If selected, when can you begin?*
Have you ever been convicted of a Misdemeanor or Felony? *
Note: Conviction means you were found guilty by a judge, jury, “no contest” or guilty plea in court. A conviction may have taken place even if you did not pay a fine or spend any time in jail or prison. A conviction will not automatically disqualify you from volunteer placement. Embracing Abilities will determine which convictions disqualify volunteer placement. Any misrepresentation will disqualify you from a volunteer position.
STATEMENT OF COMMITMENT: I certify that the information in this application are true and correct, and have been given voluntarily. If accepted as a volunteer I will fulfill my commitment of service and maintain annual educational and health testing requirements. I agree to respect the dignity and rights of each individual in the strictest of confidence. I understand that violations of any of the policies of Embracing Abilities may result in my immediate dismissal from the volunteer program. I understand and give my permission to release any and all information from your files as permitted by law pertaining to criminal history. *

Clear
Questions, Comments, or Concerns for Embracing Abilities Staff?
Should be Empty: