Courtney Place Veterans Housing
VOLUNTEER APPLICATION
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you 18 or over?
*
Yes
No
Prefer not to answer
What days are you available? please select all that apply
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What times are you typically available? please select all that apply
*
Morning
Afternoon
Evening
How often would you like to volunteer? please select all that apply
*
One-time
Weekly
Monthly
Flexible
What type of volunteering are you interested in? please select all that apply
*
Essential Goods Pantry support
Events & Outreach
Facility support /setup/ cleanup
Other
Do you have any previous volunteer experience?
*
Yes
No
If yes, please briefly describe
Are you able to lift up to 25-50 lbs if needed?
*
Yes
No
Prefer not to say
Do you need any accommodations to volunteer comfortably? If so, please describe
Do you have reliable transportation?
*
Yes
No
Emergency Contact Information
Name
*
First Name
Last Name
Relationship
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I give permission for my photo/video to be used for promotional purposes
*
Yes
No
I confirm that the information provided is accurate
*
I understand
I understand that I may be required to sign a waiver before volunteering
*
I understand
By signing electronically below, I agree to support our mission, treat all veterans and community members with respect, and follow volunteer guidelines. I understand I am responsible for my own safety while volunteering.
*
Date
*
-
Month
-
Day
Year
Date
Would you like to be added to our volunteer email list for upcoming opportunities?
Yes
No
Continue
Continue
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