IWS Volunteer Application Form

Volunteer Application
Today's Date*

MonthDayYear
Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

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

YesNo
Pending charges that you were arrested for and on bail or pending trial?*

YesNo
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

CityState / Province

Postal / Zip CodeCountry
Type of Business
Name & Title of Supervisor
Title & Brief Description of Duties*
Type of Employment

Full-TimePart-TimeOther
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-2pmTuesday 10am - 2pmWednesday 10am - 2pmThursday 10am - 2pmFridaySaturdaySunday
List specific times that you are available for the days listed above
Skillset or Areas Of Interests (Check All That Apply)*

Social MediaDriver *EventsProgramsBoard DevelopmentPublic SpeakingFundraisingWeb MaintenanceGrant WritingMarketingResearch TeamEducationPublic SpeakingAdministrationManagementHRPRFinance
* 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?

YesNo
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)*

Clear
Should be Empty:

Volunteer Application

Employment Information

Education & Training

Areas of Interest

Personal Information

Professional References