Town House Volunteer Application

Name

City

Street

Postal Code

Phone

Alternate Contact Number

Email Address

example@example.com

Present Occupation

Please provide a brief history of your volunteer experience (if any)

Please list any interests, special skills or training you have that you feel may be beneficial to volunteering.

Is there anything that you would like to share with us and/or, that may be important for us to be aware of in working with you? For example: allergies, etc.

Please specify which volunteer position(s) you are interested in at Town House?

What day(s) are you available?

I would can commit to the following timeframe:

Name

Phone #

Name

Phone #

By submitting this application, I affirm that the facts set forth are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my dismissal. I am aware that to become a Town House volunteer, I will participate in the volunteer screening process and orientation, including having my references checked.

I give my permission that pictures taken during volunteer activities may be used for publicity purposes (newspapers, posters, brochures, web pages, etc) by Town House. All pictures will remain the property of Town House.

Applicant Name

Date

Town House Volunteer Application

PERSONAL DETAILS

VOLUNTEER PROFILE

Volunteer Opportunities

REFERENCES (Please list two non-family references)