VOLUNTEER APPLICATION

VOLUNTEER APPLICATION
All FVPS prospective volunteers must submit a completed volunteer application. Volunteer selectionis based on a successful screening interview, criminal background check, and volunteer orientation. Please complete and submit this application.
Name*

First NameMiddle NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Have you ever used another name for work, school or business purposes? If so, identify name(s), date(s) and circumstance:*
Occupation*
Employer Name*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Does your company offer a matching fund or company contribution for your volunteer services*

YesNo
Who is the contact person (Full Name)
Contact Person's Email
example@example.com
Contact Person's Phone
Please enter a valid phone number.Format: (000) 000-0000.
In the case of an emergency at any of our facilities, can we contact you to volunteer*

YesNo
Highest level of education:*

High SchoolSome CollegeCollege DegreeMastersPhD
Indicate your availability: (select all that apply)*

WeekdayWeekendWeeklyMonthlyBi-Monthly
Desired Shifts: (select all that apply)*

Day (7am-3pm)Evening (3pm-11pm)Nights (11pm-7am)On Call
Foreign Languages and level of competency?*
Computer Literacy Level:*

BeginnerIntermediateAdvanced
Have you ever been arrested, charged or convicted of any crimes?*

YesNo
Please Explain*
Tell us in your own words what motivates you to volunteer with FVPS*
EMERGENCY CONTACT
Emergency Contact Full Name*
Emergency Contact Relation*
Emergency Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

VOLUNTEER APPLICATION

EMERGENCY CONTACT