TOL Changemaker Application
Email
*
example@example.com
Today's Date
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Age
*
Under 18
19-25
26-34
35-45
46-60
61 and over
Social Media Handles (IG, Facebook, LinkedIn, Twitter)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Next
Education & Training
Highest Level of Education Completed
*
High School / GED
Associate's Degree
Masters Degree
Doctorate Degree
Professional License / Certification
Vocational Training / Trade School
Other
School #1 / University #1
*
Degree / Certification
Graduation Date
School #2 / University #2
Degree / Certification
Graduation Date
School #3 / University #3
Degree / Certification
Graduation Date
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Next
Skills, Honors & Awards
List any skills you have that are relevant for the position you are applying for:
*
List any accomplishments, honors or awards you have received:
List any significant or relevant experience you have:
Position of Interest
*
Intern
Year-Round Program Volunteer - Youth Programs
Year -Round Program Volunteer - Adult Programs
Adult Volunteer - Administrative
Seasonal Volunteer (ex. 2-3 months)
Community Event Staff (When Available)
Community Event Planning Team (2-3 months)
Board Member
Areas of Interest
*
Operations
Human Resources
Communications
IT - Informational Technology
Food Equity
Recreation & Sports
Education & Career Pathways
Economic Development
Community Service Opportunities
Community Outreach / Engagement
Fundraising
Other
We are flexible and creative in creating volunteer positions. Please add information on your specific area of interest or position and/or preferences.
Why do you want to join The O League team?
*
Earliest Start Date
*
-
Month
-
Day
Year
Date
Hours of Availability
*
Rows
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Afternoon
Evening
If required, will you work weekends?
Yes
No
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Employment / Volunteer History
Starting with you present or most recent employer, list in consecutive order all employment for at least the past three employers. If currently employed, may we contact your employer?
*
Yes
No
Company #1
Supervisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Title / Position
Responsibilities
Name of Supervisor and Contact Info
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Company #2
Supervisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Title / Position
Responsibilities
Name of Supervisor and Contact Info
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Company #3
Supervisor Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Title / Position
Responsibilites
Name of Supervisor and Contact Info
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
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References
(Please include at least one personal and one professional reference)
Reference #1
Please list name, contact information, relationship and years known.
Reference #2
Please list name, contact information, relationship and years known.
Reference #3
Please list name, contact information, relationship and years known.
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Volunteer/Employment Verification
Are you legally authorized to work in the US?
*
Yes
No
Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?
*
Yes
No
Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)
*
Yes
No
If you selected "Yes" to the previous question, please explain.
I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. Please acknowledge that all information is complete and accurate. PLEASE TYPE YOUR NAME BELOW
*
Date
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Month
-
Day
Year
Date
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