Volunteer Application Form

Name

First NameLast Name

E-mail

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Skillsets or Area of Interests

I'd like to help with:

I'm available to volunteer:

Do you have a specific volunteer schedule in mind?

Previous volunteer or work experience

Please disclose any prior claims or allegations of sexual abuse or other inappropriate conduct toward a youth or vulnerable person.

Age

Languages spoken fluently (select all that apply)

My reasons for wanting to volunteer with New Vision (mark as many as apply):

I'm able to volunteer at these locations (select all that apply):

Name, Phone Number or Email Address of Two References

Person to Notify in Case of Emergency (Name, Phone Number)

How did you hear about New Vision/ volunteer opportunities?

Comments

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I authorize New Vision to conduct background checks as needed.

New Vision for Independence shall not discriminate in soliciting volunteers or treat unequally any volunteer because of race, religion, ancestry, national origin, sexual orientation, or sex; and will comply with all federal, state and local anti-discrimination laws. Any information gathered is used solely to determine the best volunteer assignments for you.

New Vision Volunteer Application Form