The Smiths USA
Volunteer Application Form
Personal Information
Full Name
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
Emergency Contact Phone
Format: (000) 000-0000.
Volunteer Interests
Preferred Role
Volunteer Coordinator
Sub Volunteer
Happy to help wherever needed
Areas I Would Like to Help With
Community Support
Emotional Support & Encouragement
Family Support
Employment & Resume Assistance
Housing & Daily Living
Back
Next
School & Education
Medical & Benefits Information (general guidance only)
Administration
WhatsApp Moderation
Social Media
Graphic Design
Events & Fundraising
Translation
Prayer & Spiritual Encouragement
Other
About You
Why would you like to volunteer with The Smiths USA?
Tell us a little about yourself.
What skills or experience would you bring?
Hours available each week
Preferred days/times
Volunteer Agreement
I understand this is a volunteer position.
I agree to keep information shared by families confidential.
I agree to follow The Smiths USA's values and volunteer guidelines.
I understand emotional support provided is peer support only unless appropriately qualified.
Printed Name
Back
Next
Signature
Date
-
Month
-
Day
Year
Date
Preview PDF
Submit
Should be Empty: