Volunteer Service Application

Volunteer Service Application
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:

MonthDayYear
Date
Date of Birth:

MonthDayYear
Date
Current Address:
Phone:
Emall:
example@example.com
Emergency contact: Name
Phone
Can you work independently?

YesNo
Days available:

MonTuesWedThursFriSat
Times available:

MorningAfternoonEvening
Do you have an assignment preference?

YesNo
Assignment Preference Options:

Thrift StoreKitchenBuilding & GroundsOther
Special skills you have or equipment you have used:
Have you ever been convicted of a felony?

YesNo
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

Clear
Date

MonthDayYear
Date
Should be Empty: