Volunteer Application
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Volunteer Opportunities:
*
Assisting with donation pick-up and family moves (day and time varies)
Assist with donations (Putting away and organizing storage rooms)
Provide an evening meal
Serve evening meal
Assist with projects around the shelter or transitional house (painting, repairs, etc.)
Assist with annual fundraiser "Hike for the Homeless"
Other
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain:
Do you consent to a background check?
Yes
No
Past Volunteer/ Work Experience:
Is this part of a school requirement?
Yes
No
Is this Community Service hours?
Yes
No
If yes, how many hours are your required to complete?
Is there a deadline to complete hours?
Emergency Contact:
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship:
Signature
Date:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: