Volunteer Application Form

Volunteer Application Form
Information
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Apt/Unit #

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

MonthDayYear
Date Available*

MonthDayYear
Phone*

Area CodePhone Number
E-mail*
example@example.com

References

Please list three personal references
Full name*
Relationship/Yrs Known*
Company
Phone*

Area CodePhone Number
Email
example@example.com
Address
Full name*
Relationship/Yrs Known*
Company
Phone*

Area CodePhone Number
Email
example@example.com
Address
Full name*
Relationship/Yrs Known*
Company
Phone*

Area CodePhone Number
Email
example@example.com
Address

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?

YesNo
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?

YesNo
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.*

I agree
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 agree
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.*

I agree
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.*

I agree
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.*

I agree
Signature*

Clear
Please verify that you are human*
Should be Empty:

Volunteer Application Form

Information

Education/Interest

References

Previous Volunteerism References

Disclaimer and Signature