Volunteer Application
Contact Information
Name
*
First Name
Last Name
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.
Birthday
*
-
Month
-
Day
Year
Date
Availability
Please indicate the times you are available for each day of the week. If you are not available, please type unavailable.
Sunday
*
Monday
*
Tuesday
*
Wednesday
*
Thursday
*
Friday
*
Saturday
*
Volunteer Interest Area
Please tell us which areas you are interested in volunteering in. Pick your top three
*
Administrative Assistant
Group Facilitator
Case Management
Volunteer Coordinator
Social Media Ambassador
Marketing Ambassador
Event Planning
Resource & Donor Development
Community Representative
Research Data and Stats
Childcare
Human Resource
Other
Special Skills and Qualifications
Summarize the special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities including hobbies or sports, that will qualify you to volunteer in this experience.
*
0/50
Professional References
Reference #1
*
Please provide name, email, contact number, and your relation to this individual.
0/80
Reference #2
*
Please provide name, email, contact number, and your relation to this individual.
0/80
Emergency Contact
Please let the contact information for the individual we should contact in the case of an emergency
*
Please provide name, email, contact number, and your relation to this individual.
0/80
Criminal Background
Disclaimer: As of April 1st 2022, H.E.A.R.T.S. is requiring a criminal background check for all staff and volunteers. It is the responsibility of each individual to obtain and submit a copy of your criminal background check for review. The background check can not be dated more than 60 days prior to submission. If you have been convicted of a felony other than a minor traffic violation please include it below, including charges pending.
Criminal Background Explanation
Policy
It is the policy of the organization to provide equal opportunity without regards to race, color, religion, nationality, gender, sexual preference, age, or disability. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statement, omissions, or other misrepresentations made by me on this application may result in immediate dismissal.
Signature
*
Submit
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