Volunteer application

Name

Date of Birth

(Used for background checks)

Other names you have gone by (maiden, married, etc.).

Address

Phone

Email

example@example.com

Which method do you prefer?

What programs/services are you interested in?

Clothing Closet (sort clothes, assist shoppers, recycle cardboard)Drivers (transport people, pick up donations, make deliveries)Friends Group (special needs social group)Tutoring (tutor, provide snacks, greeter, bathroom escort)VITA Tax Services (greeter, intake, reminder calls, tax preparer)Events Support (promotion, set-up/tear down, other)General support (clerical, phone calls, other areas as needed)

AVAILABILITY . If you are currently employed or have other responsibilities that might interfere with volunteering, please provide additional information.

Please indicate below the days and times you can volunteer (we prefer 2-hour blocks Sat. Mon.Tues.Wed.Thurs.Fri.Sun.

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Saturdays

Sundays

RELEVANT EXPERIENCE (Please describe prior volunteer/work experiences, education, skills, training, etc. that you have to offer.

Have you ever been convicted of a misdemeanor or felony? (If you answer "yes", we may contact you for additional information.)

NoYes

To complete your application, please review the following statements.

I declare that all statements contained in this application are true and any misrepresentation or omission may result in rejection of my application and/or termination with the any Mason Community Service program.

I understand that this organization prohibits discrimination in any form, including harassment based on color, race, gender, ancestry, religion, national origin, age, disability, medical conditions, marital status, sexual orientation, gender identity or expression, veteran status (including past, present or future application for, or membership in, a uniformed service), citizenship status, or other protected group status.

I authorize this organization to release this application or information contained in this application to conduct thorough background checks with ICHAT, Truescreen, National Sex Offender site, FBI fingerprint, Central Registry Clearance, Michigan Child Care background check and disclosure and/or other agencies as needed or required.

I understand that photographs may be taken for publication and promotional use for Mason Community Services.

My signature verifies that I have read all the above statements, have asked questions, and fully understand all of these statements.

DO NOT SIGN UNTIL YOU HAVE READ AND AGREE TO THE ABOVE STATEMENTS.

Applicant's Signature

Date