CLUB F.E.A.R.
Volunteer Application
Snow Hill, MD • Pocomoke City, MD
All individuals interested in VOLUNTEERING with CLUB F.E.A.R.
must complete this Volunteer Application.
We accept regular volunteers age 15 and over.
BACKGROUND INFORMATION
TODAY"S DATE
*
-
Month
-
Day
Year
Date
Full Name
*
Date of Birth - Must be age 15 or over.
*
-
Month
-
Day
Year
Date
Mailing Address
*
Home Phone
*
Mobile Phone
*
Work Phone
E-mail Address
*
Occupation/Place of Employment
If you are a student, where do you attend school?
If you are a student, will you need record of your volunteer time for service hours?
Yes
No
Not Sure
What is your preferred method of contact?
*
Phone
E-mail
Either
What is your availability or desired days/times to volunteer? [check all that apply]
*
Monday AM
Monday PM
Tuesday AM
Tuesday PM
Wednesday AM
Wednesday PM
Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
As needed/asked
Special Events
Other
How frequently would you like to volunteer?
*
Weekly
Monthly
As Needed
Special Events
One-Time
Not Sure
Are you part of a group [school, church, organization, 4-H, corporate, etc] who would like to do a one-time Volunteer Day or Service Project? If so, please elaborate below:
What activities are you interested in doing as a volunteer? [check all that may apply]
*
Afterschool Program
Summer Program
Gardening
Special Events
Community Outreach
Marketing, Promotion and Fundraising
Construction/Repairs and Painting
Other
How did you hear about CLUB F.E.A.R.
*
Have you worked with Adolescents aged 12-17?
Yes
No
If yes, how many years of experience?
Please feel free to elaborate on your experience if necessary.
BY TYPING YOUR NAME IN THE BOX BELOW, YOU CERTIFY THAT ALL OF THE INFORMATION THAT YOU HAVE PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT.
*
IF YOU ARE UNDER 18 YEARS OF AGE, PLEASE INITIAL THAT A PARENT OR GUARDIAN SUPPORTS YOU IN THIS VOLUNTEER ROLE AND IS WILLING TO SIGN A RELEASE FORM ON YOUR BEHALF.
Any additional questions or comments:
Thank you for taking the time to complete our Volunteer Application!
We will be in touch shortly.
If you have any questions, please contact us at:
Kory.holden@minarysdreamalliance.org
- Thank you!
www.minarysdreamalliance.org
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