FBS Special Event Volunteer

SPECIAL EVENTS

VOLUNTEER APPLICATION
Legal Name*

First NameLast Name
Are you with an organization?
ex: FBJSL, NCL, etc.
E-mail*
Phone Number*

Mobile NumberWork Number
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status

MarriedSingle
Spouse's Name
Will your spouse serve with you at times?

Yes, or maybeNo
Employment Status

RetiredWork Part-TimeWork Full-TimeOther
Employer (if applicable)
Does your company match volunteer hours?

YesNo
Emergency Contact Name
Emergency Contact Phone number
Special Events are seasonal and often on weeknights or weekends. When are you available?

Most weeknightsSaturday daysSaturday eveningsMon -Fri 8 AM - 5PM
Skills or Special Interest (Check All That Apply)

Organizational skillsArtisticNetworkingDecoratingBartendingCarpentryHospitalityCreative knackOther
Local Personal Reference (Must Be 18 Years Old and Not Related to You)
Reference Name

First NameLast Name
Reference Contact Information

Email AddressPhone number
I agree not to disclose, copy, misuse, or release any confidential information. I agree that all information I receive, whether obtained by direct contact with clients or information from MOW staff, is to be held in strict confidence in order to protect the rights of all involved.*

I agreeI am the parent/legal guardian of the applicant, and I agree.I disagree.
I agree to identify and hold Fort Bend Seniors Meals on Wheels harmless of and from any claims, demands, losses, suits, or all other damages arising from my activities as a volunteer for Fort Bend Seniors Meals on Wheels.*

I agree.I am the parent/legal guardian of the applicant. I agree.I disagree.
Photo Release: I agree to have my photo taken and give permission to have it used on social media or for any promotional purposes.*

I agree.I am the parent/legal guardian of the applicant. I agree.I disagree.
Thank you for your application. By submitting this form, you are agreeing to be contacted and are willing to be a part of the Special Events volunteer teams. For any questions, please email development@fortbendseniors.org
First & Last Name: Date
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SPECIAL EVENTS