Great Smokies Health Foundation Sylva Thrift Shop Volunteer Application Form
Application Date
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Month
/
Day
Year
Full Name
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First Name
Middle Name
Last Name
Current Home Address (No P.O. Box, please)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter the best number at which we can reach you.
Email address
*
example@example.com
Driver's license number and state of issue
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Social Security Number (no dashes)
*
This is a secure application. This information will be seen only by the person processing the background check required of all volunteers. It will not be stored.
Date of Birth
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/
Month
/
Day
Year
Gender
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(Male, Female, Non-conforming, or Prefer Not to State)
Emergency Contact Name
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First Name
Last Name
Emergency Contact Relationship To You
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Emergency Contact Phone Number 1
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Emergency Contact Phone Number 2
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Any Physical Limitations?
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Yes
No
Please describe any physical limitations if you answered "yes" to the previous question (for example, "unable to stand for long periods" or "unable to lift more than 10 pounds").
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Highest level of education completed
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Current high school or college student
High School
Associate's degree
Bachelor's degree
Graduate degree
Professional degree
Career experience
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(Please provide a brief description of your work history).
Previous volunteer experience
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(Please provide a list of prior volunteer work, listing the organization(s) and approximate dates of service).
Why do you want to volunteer at the Great Smokies Health Foundation's Sylva Thrift Shop, and what skills or qualities do you offer as a volunteer?
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Volunteer availability
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Monday (mornings)
Monday (afternoons)
Tuesday (mornings)
Tuesday (afternoons)
Wednesday (mornings)
Wednesday (afternoons)
Thursday (mornings)
Thursday (afternoons)
Friday (mornings)
Friday (afternoons)
Saturday (mornings)
Have you been convicted of a felony in the last five (5) years?
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Yes
No
If you answered "yes" to the previous question, please explain.
Please provide the names and telephone numbers of two (2) people unrelated to you whom we may contact as references.
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Certification: By signing below, I hereby certify and affirm the information given by me in the application is true in all aspects. If approved as a volunteer, I agree to comply with all Great Smokies Health Foundation Sylva Thrift Shop policies and procedures. I understand that by signing this application, I consent to a background check to be conducted by the Great Smokies Health Foundation to determine my eligibility to serve as a volunteer and verify the information I have provided in this application. I further understand that my application may be declined if I am determined to be ineligible for any reason in the sole discretion of the Great Smokies Health Foundation.
Signature
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