Family Legacy Network Volunteer Application Form

Family Legacy Network Volunteer Application Form

Thank you for your interest in volunteering. Please complete all sections to help us match you with suitable opportunities.
Personal Information
First Name
Middle Name
Last Name
Preferred Name / Nickname
Date of Birth

MonthDayYear
Date
Age
Gender
Pronouns
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
Zip Code
Best Method of Contact
Emergency Contact Name

First NameMiddle NameLast Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Personal Interests & Wellness
Favorite Color
Favorite Hobby
Favorite Food
T-Shirt Size
Do you have any allergies, dietary restrictions, or medical concerns?
If yes, please explain your allergies, dietary restrictions, or medical concerns
Do you have any physical limitations or accommodation needs?
If yes, please describe any accommodations needed
Volunteer Availability
Is this volunteer required by court-appointed, school mandated, work-related, or other?
Number of hours needed
Employer or Organization
Provide employer or organization name if volunteering with employer or an organization
Days Available
Preferred Volunteer Times
Volunteer Opportunity Types
Hours per Week You Can Volunteer
Volunteer Areas of Interest
Volunteer Areas of Interest
Note
Background Check & Experience
Have you previously volunteered with Family Legacy Network?
Have you worked with children or youth before?
Do you currently have a recent background check completed within the last 12 months?
Background Check Document

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Are you willing to complete a background check if required?
List any certifications, licenses, or special skills
Why do you want to volunteer with Family Legacy Network?
Social Media & Professional Links
Instagram
Facebook
LinkedIn
TikTok
Personal Website or Portfolio
References
Reference 1 Name

First NameMiddle NameLast Name
Reference 1 Relationship
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email Address
example@example.com
Reference 2 Name

First NameMiddle NameLast Name
Reference 2 Relationship
Reference 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Email Address
example@example.com
Agreements & Consent
Agreements and Consents
Accuracy Certification
Background Check Acknowledgment
Policy Agreement
No Employment Guarantee Acknowledgment
Communications and Media Consent
Should be Empty:

Family Legacy Network Volunteer Application Form

Personal Information

Personal Interests & Wellness

Volunteer Availability

Volunteer Areas of Interest

Background Check & Experience

Social Media & Professional Links

References

Agreements & Consent