St. Francis House Volunteer Application

Volunteer Application

CREATING NEW FUTURES FOR HOMELESS WOMEN & FAMILIES WITH CHILDREN
General Information
Name:*

First NameLast Name
Today's Date:*

MonthDayYear
Date
Phone Number:*
Email Address:*
example@example.com
Address:*

Street Address

Street Address Line 2

CityState

Zip
Age:*
Birthday:*

MonthDayYear
*Please note you must be at least 18 years old to volunteer at St. Francis House. Anyone under 18 can volunteer if they have a guardian on site with them. All participants must fill out applications.
Education & Employment
Highest Grade Completed?*
GED?
College?
Course of Study (if applicable):
Any Other Formal Education/Training (if applicable):
Current Employer (or N/A):*
Job Title (if applicable):
Volunteer Information
Please list any volunteer experience, including organization name, duration & duties (or N/A):*
How did you learn about St. Francis House and our Volunteer Program?*
Are you interested in a long-term commitment or a short-term commitment?*

Long-termShort-term
Will you be receiving class credit for volunteer hours served?*

NoYes
Will you be receiving credit at work for volunteer hours served?*

NoYes
Will you be receiving community service credit (court-ordered, welfare, etc.) for volunteer hours served?*

NoYes
Type of Volunteer (choose one)*

Community Service - Mandatory hours (court ordered, food stamps, CareerSource, etc.)Goodwill - Voluntary hours; no compensation!Student - School required volunteer work
Preferred Volunteer Opportunity*
History
Have you ever been convicted of a crime against a family or child?*

NoYes
Emergency Contact Information
Name:*

First NameLast Name
Relationship:*
Phone:*
Address:*

Street Address

Street Address Line 2

CityState

Zip
Media Release Agreement (check box):
I do hereby give my permission for my image and images of my children, but not my/their names, to be used in all media associations with the St. Francis House. All media statements and photos are used to make the community more aware of the needs, services, and people who seek shelter and help through the St. Francis House. The media releases are used to promote new interest, donations, and volunteering throughout the community and to help improve the programs and services of those vin need.*

Yes
The information provided is true and correct to the best of my knowledge.
Signature:*

Clear
Date:*

MonthDayYear
Date
If volunteer is under 18 years of age ~
Parent or Guardian Signature:

Clear
Print Parent or Guardian Name:
Date:

MonthDayYear
Date
Should be Empty:

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Volunteer Application

The information provided is true and correct to the best of my knowledge.