Volunteer Application Form

Previous Volunteerism References
Place of Activity
Phone

Area CodePhone Number
Address
Supervisor
Job Title/Responsibilities
From

MonthDayYear
To

MonthDayYear
Reason for Leaving
May we contact your previous place(s) of volunteerism for a reference check?
Place of Activity
Phone

Area CodePhone Number
Address
Supervisor
Job Title/Responsibilities
From

MonthDayYear
To

MonthDayYear
Reason for Leaving
May we contact your previous place(s) of volunteerism for a reference check?
If you have previous experiences with youth, please list
Ex. Babysitting, Youth church work, etc.

Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment or volunteer work, I understand that false or misleading information in my application or interview may result in my termination.
I do hereby give consent for The Job Foundation to contact all references I have listed in this document and for The Job Foundation to question each reference thouroughly to their satisfaction. I understand and agree that I may not receive any information regarding what was shared with The Job Foundation during their screening process of me included but not limited to: criminal background checks, personal references, and volunteerism references. Also, I do hereby give consent for The Job Foundation to conduct criminal background and department of human services checks on me.
In case you are with us or at the school volunteering and have an emergency, whom should we contact?
Name of Emergency Contact
Phone Number

Area CodePhone Number
I give my permission that The Job Foundation may use my photograph for marketing, public relations, or for the growth of the program on social media, letters, mailings, or other media.
The parties agree that this agreement may be electronically signed. The parties agree that electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility.
Signature
Please verify that you are human
Should be Empty: