Volunteer & Intern Application 2026

We consider applicants for all positions without regard to age, race, religious creed, color, national origin, ancestry, physical disability, mental disability, medical condition, marital status, sexual orientation or sex of any person or any other legally protected status pursuant to CALIFORNIA'S FAIR EMPLOYMENT PRACTICES AND HOUSING ACT, CALIFORNIA LABOR CODE and other relevant federal, state and local laws.

First Name*

Middle Name*

Last Name*

Email Address*

example@example.com

Street Address*

Apt No

City*

State*

Zip*

Phone*

Format: (000) 000-0000.

YesNo

If yes, give dates

YesNo

If yes, Club name and reason for leaving

How did you hear about this volunteer opportunity

Name of Referral

YesNo

If yes please list name and Club location

Date you are available to start volunteering

Date

Total hours available per week

Monday Availability

Tuesday Availability

Wednesday Availability

Thursday Availability

Friday Availability

YesNo

Where did you obtain your high school diploma?

What college do you currently attend?

Current Major?

EMPLOYMENT EXPERIENCE AND REFERENCES

List all positions you have held in the past ten (10) years. Account for volunteer, part-time military, summer positions, and periods of unemployment, etc. It is critical that you provide complete information. List each change of title or promotion separately. Resumes may be attached but WILL NOT be acceptable in lieu of COMPLETE ANSWERS. DO NOT WRITE "SEE RESUME". Start with you present or most recent position and work backwards.

Employer

Start Date of Employment

Date

End Date of Employment

Date

Address

Phone Number(s)

Format: (000) 000-0000.

Starting/ Present Job Title

Supervisor

Reason for Leaving

Employer

Start Date of Employment

Date

End Date of Employment

Date

Address

Phone Number(s)

Format: (000) 000-0000.

Starting/ Present Job Title

Supervisor

Reason for Leaving

Employer

Start Date of Employment

Date

End Date of Employment

Date

Address

Phone Number(s)

Format: (000) 000-0000.

Starting/Present Job Title

Supervisor

Reason for Leaving

Employer

Start Date of Employment

Date

End Date of Employment

Date

Address

Phone Number(s)

Format: (000) 000-0000.

Starting/ Present Job Title

Supervisor

Reason for Leaving

Comments Include explanation of any gaps in employment

REFERENCES - Professional References only. Please do not list family & friends. Email addresses required.

Name*

Email Address*

example@example.com

Relationship*

Name*

Email Address*

example@example.com

Relationship*

Name

Email Address

example@example.com

Relationship

CoachingGeneral After School Staff SupportEvent VolunteerCommunity Health Services Volunteer

If interested in coaching, please specify which sport:

Health & Science InternCase Management InternChild & Adolescent InternMasters of Social Work Practicum TraineeMarriage and Family Therapist Practicum TraineeBachelors of Social Work

I certify that I have not knowingly withheld any information that might adversely affect my chances to volunteer and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. | understand that an omission or misstatement of material fact on this application or on any document used to secure a volunteer opportunity shall be grounds for rejection of this application, regardless of the time elapsed before discovery.

I agree to be fingerprinted and to furnish proof of age, identity and legal right to work in the United States, as may be directed. I herby authorize this organization to thoroughly investigate my references, work record, education, and other matters related to my suitability for volunteer work and, further, authorize the references I have listed to disclose to the organization any and all letters, reports, and other information related to my work records, without giving me prior notice of such discloser. In addition, I hereby release the organization, my former employers, and all other persons, corporations, partnerships, and associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or disclosure.

This application for a volunteer opportunity shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered beyond this time period should inquire as to whether or not applications are being accepted at that time.

In the event of a volunteer assignment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the organization.

Signature of Applicant*

Date*

Date

VOLUNTEER OPPORTUNITIES YOU ARE INTERESTED IN