VOLUNTEER APPLICATION

VOLUNTEER APPLICATION
First and Last Name*
Email*
example@example.com
Male or Female*

MaleFemale
Address*

Address

Street Address Line 2

CityStateState / Province

Zip code
Home
Cell
Work
Date of Birth Month-Day-Year*

MonthDayYear
Date
Soc Sec
Reasons for volunteering with Vision of Hope:*
Previous Volunteer Experience:*
Occupation past occupation if retired
Professional licenses certificates that may enhance your volunteer experience
Computer experience
Interest and Hobbies
Church you attend*
Church involvement
If Student Name of School Attending
Program/Grade
Have you ever been convicted of a felony?*

yesno
If yes, Explain
List any physical conditions that may limit your activities
Emergency Contact*
Phone*
REFERENCES (2 Professional and 2 Personal not related to you):
Name*
Phone*
Address*
Relationship*
Name*
Phone*
Address*
Relationship*
Name*
Phone*
Address*
Relationship*
Name*
Phone*
Address*
Relationship*
If I am unable to perform certain volunteer tasks due to my physical or mental health conditions, I promise to take full responsibility for informing the Vision of Hope Volunteer Coordinator, rather than take the risk of personal injury.
Applicants Signature*

Clear
I certify that all the above information is correct to the best of my knowledge. I further understand that false or misleading information may be grounds for rejection of my application. I hereby give Vision of Hope, Inc. permission to contact my references; contact my employers, past and present; and to conduct a background check. I hereby acknowledge that I have read and understand the above statements.
Applicants Signature*

Clear
Date*

MonthDayYear
Date
Applicants Printed Name*
5555 Woodbine Road, Pace, Florida 32571 | 850-994-2000 Fax 850-994-2010 Website: visionofhopefl.org | E-mail: visionofhopefl@att.net
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