La Posada Providencia Volunteer Application
We appreciate you taking the time to fill out this application. The information you provide will assist us in placing you in an appropriate volunteer opportunity. Thank you.
General Information
Legal Name
*
First Name
Last Name
Preferred Name
*
First Name
Last Name
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Telephone Number
*
What is the best time to call you?
Emergency Contact Information
Please provide contact information of a family member, spouse or relative in case of an emergency:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Preferred method of contact:
Phone
Email
Are you a student?
Yes
No
If yes, name of school:
Example: UTRGV
Are you under 18 years of age?
Yes
No
If yes, what is your age?
Example: 17
Do you have a valid driver license?
Yes
No
If yes, what is your license number?
Example: 1234567
In what State is your license issued in?
Organization/Group Name:
Do you have any physical limitations?
Yes
No
Other
If yes to the question above, please explain:
Volunteer Experience
Relation
In a few sentences, please explain your previous volunteer experience.
How did you hear about La Posada?
What days are you available to volunteer?
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
What times are you available to volunteer:
From
Hour Minutes
AM
PM
AM/PM Option
To
Hour Minutes
AM
PM
AM/PM Option
Special Skills or Qualifications
What languages do you speak? Are you fluent, intermediate, beginner.
Example: Spanish (fluent), Arabic (beginner), etc.
Areas of Interest:
Arts and Crafts
Assist Case Management Department
Assist Operations Department: clerical, data entry, etc.
ESL Tutoring and basic educational areas
Garden
Property Maintenance
Public Education, Promotions, Special Events
Shelter Assistance: cleaning, laundry, sanitizing, organizing supplies, travel packs, etc.
Technology
Transporting clients to appointments and/or running errands
Would you consider becoming a regular volunteer at La Posada?
Yes
No
If yes, is it okay for the Volunteer Coordinator to contact you concerning future volunteer jobs?
Yes
No
Our Policy:
Volunteers hereby agree to serve any client and assist any staff member regardless of race, creed, national origin or sexual orientation. Volunteers hereby agree to submit for a background check.
Agreement and Signature
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 statements, omissions or other misrepresentations made by me on this application may result in my immediate dismissal.
Signature
Clear
Today's date
-
Month
-
Day
Year
01-01-2022
Submit
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform