IWS Volunteer Application Form

Volunteer Application
Today's Date *

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Name *

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Convictions or pleas that you were convicted, plead guilty or no contest for any criminal offense in the last 10 years? *

Yes No
Pending charges that you were arrested for and on bail or pending trial? *

Yes No
If yes to either criminal question, please explain
List any countries or states that you may have lived in during the last 3 years
How did you hear about our volunteer program? *
Employment Information
List most recent if unemployed or student
Name of Employer *

Employer Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Type of Business
Name & Title of Supervisor
Title & Brief Description of Duties *
Type of Employment

Full-Time Part-Time Other
Reason for leaving (if not current)
List the last organizations volunteered for:
Education & Training
Please list the name(s) of your High School/GED, College/University, Trade School/Certifications you've recieved and the city/state it was received *
Areas of Interest
Days Available to Volunteer( Check All That Apply) *

Monday 10am-2pm Tuesday 10am - 2pm Wednesday 10am - 2pm Thursday 10am - 2pm Friday Saturday Sunday
List specific times that you are available for the days listed above
Skillset or Areas Of Interests (Check All That Apply) *

Social Media Driver * Events Programs Board Development Public Speaking Fundraising Web Maintenance Grant Writing Marketing Research Team Education Public Speaking Administration Management HR PR Finance
* Driver - To be eligible you must have no accidents or tickets in the past 3 years.
Do you posses a clean driver record with auto insurance?

Yes No
Driver License #
State License Issued
Personal Information
Why are you interested in volunteering with IWS? *
What experience would you like to gain through this volunteer experience? *
Describe your long term career goals *
Professional References
List the name & your relationship to your reference. Include their email and/or phone number *
List the name & your relationship to your reference. Include their email and/or phone number *
I certify that my answers are true and complete to the best of my knowledge. If this application leads to a volunteer assignment, I understand that false or misleading info in my application may result in my release. My signature also gives consent to have a background check completed.
Signature (use your mouse to sign on the screen) *

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Volunteer Application

Employment Information

Education & Training

Areas of Interest

Personal Information

Professional References