Volunteer Service Application

valley+mission shelter support hope

Thank you for your interest in volunteering with The Valley Mission! We truly appreciate your willingness to share your time and talents with us. Please take a moment to complete all the fields below.

Please note:

Volunteers aged 18 and older are required to undergo a background check.
Volunteers under 18 must be accompanied by an adult at all times.
Photography of Valley Mission is strictly prohibited to ensure the privacy and dignity of those we serve.
We look forward to welcoming you to our team!

Name

First NameMiddle InitialLast Name

Today's Date:

Date

Date of Birth:

Date

Current Address:

Phone:

Format: (000) 000-0000.

Emall:

example@example.com

Emergency contact: Name

Phone

Format: (000) 000-0000.

Can you work independently?

Days available:

Times available:

Do you have an assignment preference?

Assignment Preference Options:

Special skills you have or equipment you have used:

Have you ever been convicted of a felony?

If yes, please explain:

CONFIDENTIALITY AGREEMENT: I promise I will not divulge any information that I may hear or see concerning any client, any member of staff, or any volunteer of the Valley Mission during my work at Valley Mission, Inc.

Signature

Date