Tamassee Hope Village Volunteer Application

Tamassee Hope Village Volunteer Application
Name

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

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a member of a community listed below?

Other
Emergency Contact
First and Last Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Employer Information

This information is collected and used to support the ongoing needs of Tamassee Hope Village, including Foundation and Corporate grant applications that request volunteer information in order to apply for funding.
Employment Status
Employer's Name
Job Title
Employer's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Criminal Records Check Authorization Form
Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Social Security Number
Gender
Race
I, the undersigned, authorize Tamassee Hope Village through the department of Social Services, to conduct a SLED and Central Registry background criminal records check by name and identifiers to determine the existence of any arrest resulting in conviction. I also understand that a State and National Sex Offender check will be completed by SLED and the US Department of Justice. These results will be sent directly to Tamassee Hope Village.
Signature
Date

MonthDayYear
Date
Motor Vehicle Records Check
Driver License or State ID Number
Write NA if not available
State Issued
Enter State Abbreviation. Write NA if not available
I, First Name* Last Name* , hereby authorize Tamassee Hope Village to access my Motor Vehicle Record to verify information regarding volunteering with Tamassee Hope Village.
Signature
Date

MonthDayYear
Date
Reference Check
I, First Name* Last Name* , hereby authorize Tamassee Hope Village permission to contact any of my references in order to determine volunteer consideration with Tamassee Hope Village.
Reference 1

Full NamePhone Number
Reference 2

Full NamePhone Number
Reference 3

Full NamePhone Number
Signature
Date

MonthDayYear
Date
Volunteer Status
Should be Empty:

Employer Information