Volunteer Application
Name:
*
First Name
Last Name
Email:
*
example@example.com
Phone Number:
*
Please enter a valid phone number.
Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact:
*
First Name
Last Name
Contact Phone Number:
*
Please enter a valid phone number.
Contact Relationship:
*
Tell Us About What You'd Like To Do
Areas Of Interest:
*
Administrative Support
Event Planning
Fundraising
Marketing/PR
Mentoring
Program Assistance
Other
Hours Per Week You'd Like to Volunteer:
*
What is your availability?
*
Skills or Certifications Relevant to Your Volunteer Role:
*
Why do you want to volunteer with us? (Briefly explain your motivation):
*
What do you hope to gain or contribute through your volunteer experience?
*
Agreements
I certify that I do not currently use illegal drugs and agree not to consume alcohol or be under the influence of any substances during my volunteer service with Casa Lucerito. I understand that violation of this policy may result in termination of my volunteer position.
*
Yes
I understand and agree to maintain the confidentiality of all proprietary or confidential information I may be exposed to during my volunteer service with Casa Lucerito, up to and including where the house is located.
*
Yes
References
Reference 1:
*
First Name
Last Name
Relation to Reference
*
Reference 1 Phone Number
*
Please enter a valid phone number.
Reference 1 Email
*
example@example.com
Reference 2:
*
First Name
Last Name
Relation to Reference
*
Reference 2 Phone Number:
*
Please enter a valid phone number.
Reference 2 Email:
*
example@example.com
Signature
Everything submitted in this application is true and accurate. I understand that volunteering with Casa Lucerito is a commitment and agree to abide by its policies and procedures. I authorize Casa Lucerito to conduct a background check if required for my volunteer role.
*
Continue
Continue
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