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Volunteer Prescreening Form

Thank you for your interest in volunteering with us! Please complete the form below so we can learn more about you and match you with the right opportunities.
PERSONAL INFORMATION
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
AVAILABILITY
Days Available (check all that apply):*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Times*

MorningAfternoon
Are you looking for a one-time opportunity or ongoing involvement?
One-TimeOngoing
INTERESTS AND SKILLS
What type of volunteer work are you interested in? (Check all that apply)*

Event SupportAdmin/ClericalFundraisingMentoring/TutoringOutreachFood ServiceOtherOther
Please list any relevant skills, training, or certifications*
BACKGROUND INFORMATION

(All information is confidential and used only to ensure the safety of our volunteers and those we serve.)
Are you willing to undergo a background check?*

YESNO
Are you able to obtain a level 1 Fingerprint Clearance card?*

YESNO
Do you have any physical limitations or medical conditions we should be aware of?*

YESNO
If yes, please explain
FINAL QUESTIONS
Why do you want to volunteer with us?*
How did you hear about us?*

WebsiteSocial MediaFriend/FamilyEventOther
Consent

I certify that the information provided is true and complete to the best of my knowledge.

I understand that this is a prescreening form and that additional steps (such as an interview or orientation) may be required.
Signature*

Clear
Date*

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Volunteer Prescreening Form