Volunteer Application Form
Name
*
First Name
Last Name
Phone Number
*
E-mail
*
Birthday
*
-
Month
-
Day
Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact (Name, Relationship, Phone Number
*
Do you have any prior volunteer experience?
*
Please Select
Yes
No
How long can you commit to volunteering with us?
*
Please Select
3 months
6 months
1 year
other
How often are you available to volunteer?
*
Please Select
Once a week
Twice a week
Few times a month
As needed for specail events
What day are you available to volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Other
What type of volunteer work are you interested in?
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Administrative support
Event planning and fundraising
Social media and communications
Organizing donations/ Giveways items
Sorting and Organizing Clothes
Attend Resource Fair/ Community Engagement
What skills or qualifications do you have that will benefit your role as a volunteer?
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Do you have any experience working with women who have experienced domestic violence or homelessness?
*
Please Select
Yes
No
Why do you want to volunteer with Heart of Gold Shelter?
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What do you hope to gain from your experience as a volunteer?
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Do you have any personal experience with issues like domestic violence, homelessness, or prison re-entry that you feel comfortable sharing?
*
Do you have any physical or medical conditions we should be aware of to accommodate your volunteer activities?
*
Are you comfortable undergoing a background check?
*
Please Select
Yes
No
Upload Resume
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